ZXU-84088-01483

3 vaccinations 7 coded responses 29 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 152 / PA
Registered: 2020-12-20

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

87A-21924-49401 Child or adolescent in my care · Male · 2021-11-05

Timeline

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

2020-12-20
Registered in v-safe
2020-12-20
Dose 1 — Pfizer-BioNTech
2020-12-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Malaise, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had fever (100.7), chills and malaise 10-12 hours after the second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Survey response — day 14, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hypertension, but this was due to an unrelated medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — day 21, dose 2
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hypertension, but likely from OCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-02
Call 1 — Left Voicemail
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 6 months, dose 2
MedDRA: Fall, Shoulder fracture — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left shoulder fracture after a fall

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
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)
2021-07-14
Call 1 — Could Not Reach Participant
2021-07-21
Call 2 — Could Not Reach Participant
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Malaise, Myalgia, Nausea, Pyrexia — Feeling: Good · Site: Pain

Free text: I had a fever (101), malaise, fatigue, nausea and myalgias similar to my second dose.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Survey response — day 14, dose 3
MedDRA: Upper respiratory tract infection — Feeling: Fair

Free text: URI

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-01
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-06
Call 1 — Left Voicemail
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 3 — Left Voicemail
2022-10-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-20	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-10	Unsuccessful
2021-01-23	Unsuccessful
2021-01-29	Unsuccessful
2021-07-09	Unsuccessful
2022-10-01	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): Had fever (100.7), chills and malaise 10-12 hours after the second vaccine

Release 2 — day 14, dose 2

2021-01-23

Symptoms: Hypertension, but this was due to an unrelated medication.

Release 3 — day 21, dose 2

2021-01-29

Symptoms: Hypertension, but likely from OCP

Release 9 — 6 months, dose 2

2021-07-09

Symptoms: Left shoulder fracture after a fall

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): I had a fever (101), malaise, fatigue, nausea and myalgias similar to my second dose.

Release 10 — day 14, dose 3

2021-10-15

Symptoms: URI

Release 12 — 12 months, dose 3

2022-10-01

Symptoms: Pregnancy

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
SD	Fall	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Shoulder fracture	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pyrexia	✓	✓	✓

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