ZXD-10969-41324

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 066 / CT
Registered: 2021-03-16

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-16
Registered in v-safe
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Dizziness, Dizziness exertional, Fatigue — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Tired at 6 1/2 hours after vaccine. Fever 99.6 at 8 1/2 hours after 1st vaccine for 2 hours. 36 hours after 1st vaccine, dizzy, not able to walk without dizziness and banging into walls. Diarrhea 3rd day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching thumb and forefinger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dizziness, Eructation, Eye pruritus, Fatigue, Medical counselling, Pruritus, Self-medication, Somnolence — Feeling: Poor · 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): Itchy hands, feet, eyes; took 1 Xyzal 9:30 a.m., 90 minutes after thyroid replacement meds, 2 hours later slept 2 hours. Awoke dizzy, tiredness continued, low appetite, 2:22 p.m. took one 12.5 Meclizine, ate dry toast and homemade chicken soup. Belching, fatigue continued. · Healthcare visit (other): Called my daughter who is a doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
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)
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pruritus — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, itchiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Gastritis, Gastrointestinal bacterial overgrowth, Gingival pain, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: July 19, 2021 gums aching by teeth 31/32 for 5 weeks. IC flare. Small Intestine Bacterial Overgrowth Aug 28, 2021-Sept 11, 2021 Xifaxan 550 mg; severe gastritis, stomach lining has sore spots, Prilosec OTC, Pantoprazole Sod DR 20 MG, DexilantDR 30 MG · Healthcare visit (other): Dentist, Primary Care, Gastroenterologist, labwork

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
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)
2021-10-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Tired at 6 1/2 hours after vaccine. Fever 99.6 at 8 1/2 hours after 1st vaccine for 2 hours. 36 hours after 1st vaccine, dizzy, not able to walk without dizziness and banging into walls. Diarrhea 3rd day.

2021-03-18

Systemic reaction (other): Mild dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Lack of appetite

2021-04-10

Systemic reaction (other): Itching thumb and forefinger

2021-04-11

Systemic reaction (other): Itchy hands, feet, eyes; took 1 Xyzal 9:30 a.m., 90 minutes after thyroid replacement meds, 2 hours later slept 2 hours. Awoke dizzy, tiredness continued, low appetite, 2:22 p.m. took one 12.5 Meclizine, ate dry toast and homemade chicken soup. Belching, fatigue continued.

Healthcare visit (other): Called my daughter who is a doctor.

2021-04-12

Systemic reaction (other): Dizziness, itchiness

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: July 19, 2021 gums aching by teeth 31/32 for 5 weeks. IC flare. Small Intestine Bacterial Overgrowth Aug 28, 2021-Sept 11, 2021 Xifaxan 550 mg; severe gastritis, stomach lining has sore spots, Prilosec OTC, Pantoprazole Sod DR 20 MG, DexilantDR 30 MG cut off by CDC

Healthcare visit (other): Dentist, Primary Care, Gastroenterologist, labwork

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Gastritis	·	·	✓
SD	Gastrointestinal bacterial overgrowth	·	·	✓
SD	Gingival pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness exertional	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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