ZUV-22791-06002

3 vaccinations 7 coded responses 34 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 452 / OH
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Psoriasis, Pustular psoriasis, Unevaluable event — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): I have pustular psoriasis I take taltz injection to treat I have not had any issues with my psoriasis since starting this medication a few years ago. Two days after getting the vaccine my psoriasis has stated to flare Im not sure if this has anything to do with the vaccine but I do have a call in to my doctor to get his opinion · Healthcare visit (other): Send message thru my chart awaiting answer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 2
MedDRA: Dizziness, Hot flush, Immediate post-injection reaction — Feeling: Fair · Site: Redness · Fever

Free text: Light headed and hot flash immediately following shot. hot flashes feeling of being flushed since

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Dizziness, Dyspnoea, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shortness of breath chest pain dizziness headache · Healthcare visit (other): Cat scan blood work chest X-ray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 21, dose 2
MedDRA: Anxiety, Chest pain, Dyspnoea, Fatigue, Headache, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Shortness of breath fatigue headache anxiety chest pains · Healthcare visit (other): Scheduled for testing May 3 on my heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 28, dose 2
MedDRA: Anxiety, Dyspnoea, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Extreme anxiety attacks shortness of breath · Healthcare visit (other): Have under gone test on heart and scheduled for breathing test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 42, dose 2
MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Muscle or body aches

Free text: Shakes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-07
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-09-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-01
Call successful
Participant prefers to complete VAERS report online
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-31
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): I have pustular psoriasis I take taltz injection to treat I have not had any issues with my psoriasis since starting this medication a few years ago. Two days after getting the vaccine my psoriasis has stated to flare Im not sure if this has anything to do with the vaccine but I do have a call in to my doctor to get his opinion

Healthcare visit (other): Send message thru my chart awaiting answer

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Light headed and hot flash immediately following shot. hot flashes feeling of being flushed since

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Shortness of breath chest pain dizziness headache

Healthcare visit (other): Cat scan blood work chest X-ray

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Shortness of breath fatigue headache anxiety chest pains

Healthcare visit (other): Scheduled for testing May 3 on my heart

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Extreme anxiety attacks shortness of breath

Healthcare visit (other): Have under gone test on heart and scheduled for breathing test

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Anxiety

Release 9 — days 1–6 daily, dose 3

2021-09-03

Systemic reaction (other): Shakes

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	Blood test	✓	✓	✓
HCVO	Chest X-ray	✓	✓	✓
HCVO	Computerised tomogram	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Psoriasis	✓	✓	✓
SRO	Pustular psoriasis	○	✓	○
SRO	Tremor	✓	·	✓

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