ZVX-10143-30080

3 vaccinations 22 coded responses 26 check-ins 22 free-text entries 13 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Fatigue or tiredness

Free text: Mild muscle cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Nasal congestion, Sneezing, Upper-airway cough syndrome — Feeling: Good

Free text: Right side of nose stuffed up with post nasal drip. ( sinus drainage )some sneezingbi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Amnesia, Balance disorder, Confusional state — Feeling: Fair · Be unable to work

Free text: Lack of balance confusion memory loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Feeling abnormal, Medical counselling — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Yes had an episode last night of severe brain fog lack of balance dizziness frightening lasted several hours now gone · Healthcare visit (other): I am a doctor myself a nurse who is a relative came to my home and examined me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate to severe Brain fog poor balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Brain fog, Cold-stimulus headache — Feeling: Good · Fatigue or tiredness

Free text: Brain gig and poor balance much improved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Urinary tract infection — Feeling: Good

Free text: I have developed a URinary tract infection on Rx with Augmentin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 14, dose 2
MedDRA: Breast mass — Feeling: Fair

Free text: Found mass in right Breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Balance disorder, Fatigue, Medical counselling, Muscle spasms, Office visit, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Severe prolonged muscle cramping in long muscles of calves and thighs /abdominal musculature /occasionally hands and arms imbalance problems RESPONDS TO QUININE WATER FATIGUE · Healthcare visit (other): I am a doctor spoke to colleagues and nurses in the family

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 28, dose 2
MedDRA: Gait disturbance — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficulty walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 35, dose 2
MedDRA: Breast cancer, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I was diagnosed with breast cancer · Healthcare visit (other): Will be having surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 42, dose 2
MedDRA: Invasive lobular breast carcinoma, Neoplasm malignant — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with invasive lobular carcinoma of the breast · Healthcare visit (other): Diagnostic studies leading to a diagnosis of cencer to diagnoses of cancer fidua of cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have breast cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Amnesia, Breast cancer, Confusional state, Dizziness, Malaise — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was diagnosed with cancer of the breast Treatment with aromatase inhibitors makes me sick with dizziness confusion snd liss if memory

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 28, dose 3
MedDRA: Adverse drug reaction, Breast cancer — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rx with Arimidex fir breast cancer. Bad reaction

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-09-30
Survey response — day 35, dose 3
MedDRA: Amnesia, Balance disorder, Breast cancer, Confusional state — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mental confusion loss if memory miss of balanceprobably due to Arimidex therapy for breast cancer

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-07
Survey response — day 42, dose 3
MedDRA: Amnesia, Balance disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Loss of memory and balance

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-10
Call 1 — Left Voicemail
2021-11-27
Survey response — 3 months, dose 3
MedDRA: Breast cancer, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Surgery for breast cancer · Healthcare visit (other): Surgery for breast cancer you no longer stay in hospital for breast surgery at kaiser

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2021-11-30
Call 1 — Left Voicemail
2022-02-26
Survey response — 6 months, dose 3
MedDRA: General physical health deterioration, Mental impairment, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I am elderly and am in a decline mentally and physically · Healthcare visit (other): Palliative care

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-08-30
Survey response — 12 months, dose 3
MedDRA: Memory impairment, Vertigo, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Vertigo reduced vision l r eye poor memory

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-08-26	Pfizer-BioNTech	No

Call center

13 call center cases

13 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Mild muscle cramping

2021-02-06

Systemic reaction (other): Loss of appetite

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): No

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Right side of nose stuffed up with post nasal drip. ( sinus drainage )some sneezingbi

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Lack of balance confusion memory loss

2021-02-27

Systemic reaction (other): Yes had an episode last night of severe brain fog lack of balance dizziness frightening lasted several hours now gone

Healthcare visit (other): I am a doctor myself a nurse who is a relative came to my home and examined me

2021-02-28

Systemic reaction (other): Moderate to severe Brain fog poor balance

2021-03-01

Systemic reaction (other): Brain gig and poor balance much improved

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): I have developed a URinary tract infection on Rx with Augmentin

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Found mass in right Breast

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Severe prolonged muscle cramping in long muscles of calves and thighs /abdominal musculature /occasionally hands and arms imbalance problems RESPONDS TO QUININE WATER FATIGUE

Healthcare visit (other): I am a doctor spoke to colleagues and nurses in the family

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Difficulty walking

Release 6 — day 35, dose 2

2021-04-01

Symptoms: I was diagnosed with breast cancer

Healthcare visit (other): Will be having surgery

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Diagnosed with invasive lobular carcinoma of the breast

Healthcare visit (other): Diagnostic studies leading to a diagnosis of cencer to diagnoses of cancer fidua of cancer

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: I have breast cancer

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: I was diagnosed with cancer of the breast Treatment with aromatase inhibitors makes me sick with dizziness confusion snd liss if memory

Release 9 — day 28, dose 3

2021-09-29

Symptoms: Rx with Arimidex fir breast cancer. Bad reaction

Release 9 — day 35, dose 3

2021-09-30

Symptoms: Mental confusion loss if memory miss of balanceprobably due to Arimidex therapy for breast cancer

Release 10 — day 42, dose 3

2021-10-07

Symptoms: Loss of memory and balance

Release 10 — 3 months, dose 3

2021-11-27

Symptoms: Surgery for breast cancer

Healthcare visit (other): Surgery for breast cancer you no longer stay in hospital for breast surgery at kaiser

Release 11 — 6 months, dose 3

2022-02-26

Symptoms: I am elderly and am in a decline mentally and physically

Healthcare visit (other): Palliative care

Release 12 — 12 months, dose 3

2022-08-30

Symptoms: Vertigo reduced vision l r eye poor memory

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	Breast cancer	·	·	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Neoplasm malignant	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Surgery	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Amnesia	✓	·	✓
SD	Balance disorder	·	·	✓
SD	Breast cancer	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Confusional state	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	General physical health deterioration	·	·	✓
SD	Invasive lobular breast carcinoma	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Memory impairment	·	·	✓
SD	Mental impairment	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Surgery	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Amnesia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Cold-stimulus headache	✓	✓	○
SRO	Confusional state	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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