ZTV-28116-22127

4 vaccinations 11 coded responses 42 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 402 / KY
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · None · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Likely related to other condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: May be related to other activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Existing fibromyalgia patient. Exertional malaise with thyroiditis response to recent PT. LONG history of this condition. Do not feel that this is a Covid vaccine response.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Dehydration — Feeling: Good · Fatigue or tiredness

Free text: Dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Good · Site: Pain

Free text: Yesterday late felt slight temp increase Gone as of today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — 3 months, dose 3
MedDRA: Chest pain, Hypoaesthesia, Oropharyngeal pain, Swelling, Upper-airway cough syndrome — Feeling: Fair

Free text: Post nasal drip with throat soreness this week. Following my booster six months following I had fat pad swelling around the heart with chest pain and arm numbness. Had X-rays done. Symptoms for this resolved

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have fibromyalgia and finished hard two weeks. Bad timing in my book.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — days 1–6 daily, dose 4
MedDRA: Feeling hot, Poor quality sleep, Sleep disorder — Feeling: Good · Fever · Fatigue or tiredness

Free text: woke in the middle of the night, warmish in the face as before. Slight. Slept fitfully.

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Survey response — day 42, dose 4
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Respiratory allergies

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Survey response — 3 months, dose 4
MedDRA: Chest pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Chest psin · Healthcare visit (other): Specialists and internist

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-02
Call successful
Participant prefers to complete VAERS report online
2022-12-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-06-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-01	Successful 2022-09-02	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Likely related to other condition

2021-03-09

Systemic reaction (other): May be related to other activity

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Existing fibromyalgia patient. Exertional malaise with thyroiditis response to recent PT. LONG history of this condition. Do not feel that this is a Covid vaccine response.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Seasonal allergies

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Dehydrated

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Yesterday late felt slight temp increase Gone as of today.

Release 10 — 3 months, dose 3

2022-01-01

Symptoms: Post nasal drip with throat soreness this week. Following my booster six months following I had fat pad swelling around the heart with chest pain and arm numbness. Had X-rays done. Symptoms for this resolved

Release 11 — days 1–6 daily, dose 4

2022-06-06

Systemic reaction (other): Have fibromyalgia and finished hard two weeks. Bad timing in my book.

2022-06-07

Systemic reaction (other): woke in the middle of the night, warmish in the face as before. Slight. Slept fitfully.

Release 12 — day 42, dose 4

2022-07-14

Symptoms: Respiratory allergies

Release 12 — 3 months, dose 4

2022-09-01

Symptoms: Chest psin

Healthcare visit (other): Specialists and internist

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	·	·	✓
SD	Chest pain	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Poor quality sleep	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep disorder	·	·	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release