ZXP-21537-23498

2 vaccinations 14 coded responses 19 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 284 / NC
Registered: 2021-01-18

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

2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 14, dose 1
MedDRA: Arthralgia, Insomnia, Nausea — Feeling: Fair

Free text: Nausea and joint pain and I have not been able to sleep more than a few hours at a time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Dose 2 — Pfizer-BioNTech
2021-02-14
Survey response — day 0, dose 2
MedDRA: Pre-existing disease, Surgery — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I also had surgery on the same arm plus I have RA and cancer so some of my problems may be due to that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Blood urine present — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Blood in my urin. It could be due to my kidney problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Micturition urgency, Pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Yes I may have a UTI, I have a lot of pain burning and stinging with an urge to pee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change, Hot flush — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes and my body will be hot in one place and cold in another part.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pain and pressure in my chest

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

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Insomnia, Restless legs syndrome — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea upset stomach restless legs sleeplessness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 35, dose 2
MedDRA: Blood urine present, Cough, Flank pain, Insomnia, Nasal congestion, Office visit, Restless legs syndrome, Telemedicine — 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: Blood in my urine and pain in my side plus restless legs and problems sleeping. Cough and some nasal congestion. · Healthcare visit (other): Primary care DR visit and by phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 35, 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)
2021-03-28
Survey response — day 42, dose 2
MedDRA: Blood urine present, Headache, Nausea, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nauseous, head ache, swelling and blood in my urine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: My cardiac profusion dropped from 71 to 24 percent since 2017. And I have had a few other issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — 3 months, 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)
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Cardiac assistance device user, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, 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: CHF and I have to wear a cardiac vest

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Requested Callback
2021-08-25
Call 2 — Requested Callback
2021-08-26
Callback requested for
2021-08-26
Call successful
Participant prefers to complete VAERS report online
2022-02-16
Survey response — 12 months, dose 2
MedDRA: Implantable defibrillator insertion, Pneumonia — Feeling: Poor · 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, Hospitalization

Free text: I have had a pacemaker and defibrillator put ln and i have also had pneumonia.

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 12 months, dose 2
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 · Hospitalization · 1 call case(s)
2022-02-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-14	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): loss of appetite

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Nausea and joint pain and I have not been able to sleep more than a few hours at a time

Release 4 — day 0, dose 2

2021-02-14

Systemic reaction (other): I also had surgery on the same arm plus I have RA and cancer so some of my problems may be due to that.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Blood in my urin. It could be due to my kidney problems.

2021-02-16

Systemic reaction (other): Yes I may have a UTI, I have a lot of pain burning and stinging with an urge to pee.

2021-02-19

Systemic reaction (other): Hot flashes and my body will be hot in one place and cold in another part.

2021-02-20

Systemic reaction (other): UTI

Release 4 — day 7, dose 2

2021-02-21

Systemic reaction (other): Pain and pressure in my chest

Release 5 — day 28, dose 2

2021-03-14

Symptoms: Diarrhea upset stomach restless legs sleeplessness.

Release 6 — day 35, dose 2

2021-03-21

Symptoms: Blood in my urine and pain in my side plus restless legs and problems sleeping. Cough and some nasal congestion.

Healthcare visit (other): Primary care DR visit and by phone

Release 6 — day 42, dose 2

2021-03-28

Symptoms: Nauseous, head ache, swelling and blood in my urine.

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: My cardiac profusion dropped from 71 to 24 percent since 2017. And I have had a few other issues.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: CHF and I have to wear a cardiac vest

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: I have had a pacemaker and defibrillator put ln and i have also had pneumonia.

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	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Cardiac assistance device user	✓	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Implantable defibrillator insertion	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Restless legs syndrome	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Blood urine present	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Micturition urgency	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Surgery	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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