ZY9-24587-56135

4 vaccinations 16 coded responses 29 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 010 / MA
Registered: 2021-08-15

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

2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-28
Dose 2 — Pfizer-BioNTech
2021-08-15
Registered in v-safe
2021-08-15
Dose 3 — Pfizer-BioNTech
2021-08-15
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-16
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: I have no overt joint pain that I would pinpoint to the vaccine. I live with joint pain due to other conditions.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Survey response — days 1–6 daily, dose 3
MedDRA: Frequent bowel movements, Muscle spasms — Feeling: Good · Site: Pain · Abdominal pain

Free text: Crampy, several bowel movements today

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: I have Systemic Mast Cell Disease which flared after 2nd vaccine for about one month. So far doing very well since 3rd vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-22
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-19
Survey response — day 35, dose 3
MedDRA: Crohn's disease, Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My Crohn's Disease/IBS is in a flair. Makes this difficult.

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Bowel movement irregularity, Crohn's disease, Haematochezia, Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Crohn's / IBS in serious flare.Severe abdominal pain, bowel movement problems with bleeding.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — 3 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigure

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call successful
Completed over the phone
2022-01-13
Dose 4 — Pfizer-BioNTech
2022-01-13
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: The arm pain is extremely mild just where the injection went in. No radiation of pain.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-01-17
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Abdominal pain

Free text: This abdominal pain had been with me for several years. Crohn's disease

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Abdominal pain

Free text: As I mentioned yesterday this an ongoing health issue for several years. Crohn's disease

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-20
Survey response — day 7, dose 4
MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: As I continue to report my abdominal pain is an ongoing health issue

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-02-03
Survey response — day 21, dose 4
MedDRA: Abdominal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Not sure Had an abdominal MRE with contrast 2 days ago. No results yet Terrible umbilicus small intestine area pain.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Survey response — day 28, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Existing G.I. Issues

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — day 35, dose 4
MedDRA: Herpes zoster, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I have Shingles which started about 6 days ago in the cervical thoracic area, left side. I had my Shindrex vaccine shots in March and April 2018. I am currently on an antiviral prescribed by my PCP · Healthcare visit (other): Follow up office appointment today

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-14
Survey response — 3 months, dose 4
MedDRA: Condition aggravated, Fatigue, Herpes zoster, Oral lichen planus, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have already reported that I had the Shingles although I am vaccinated. Also I have Oral Lichen Planus. I have Idiopathic Mast Cell Diease and IggSD. I had a serious Mast Cell attack. Feeling better, dealing with a difficult farigue.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Survey response — 6 months, dose 4
MedDRA: Blood immunoglobulin G decreased — Feeling: Fair

Free text: IgG Deficiency

MedDRA releases: 2024-11 · check-in free text available
2023-01-13
Survey response — 12 months, dose 4
MedDRA: Breast cancer, Surgery — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech	No
2	2021-02-28	Pfizer-BioNTech	No
3	2021-08-15	Pfizer-BioNTech	No
4	2022-01-13	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-16

Systemic reaction (other): I have no overt joint pain that I would pinpoint to the vaccine. I live with joint pain due to other conditions.

2021-08-17

Systemic reaction (other): Crampy, several bowel movements today

2021-08-19

Systemic reaction (other): I have Systemic Mast Cell Disease which flared after 2nd vaccine for about one month. So far doing very well since 3rd vaccine.

Release 9 — day 35, dose 3

2021-09-19

Symptoms: My Crohn's Disease/IBS is in a flair. Makes this difficult.

Release 9 — day 42, dose 3

2021-09-26

Symptoms: Crohn's / IBS in serious flare.Severe abdominal pain, bowel movement problems with bleeding.

Release 10 — 3 months, dose 3

2021-11-15

Symptoms: Fatigure

Release 10 — days 1–6 daily, dose 4

2022-01-15

Systemic reaction (other): The arm pain is extremely mild just where the injection went in. No radiation of pain.

2022-01-17

Systemic reaction (other): This abdominal pain had been with me for several years. Crohn's disease

2022-01-18

Systemic reaction (other): As I mentioned yesterday this an ongoing health issue for several years. Crohn's disease

Release 10 — day 7, dose 4

2022-01-20

Systemic reaction (other): As I continue to report my abdominal pain is an ongoing health issue

Release 11 — day 21, dose 4

2022-02-03

Symptoms: Not sure Had an abdominal MRE with contrast 2 days ago. No results yet Terrible umbilicus small intestine area pain.

Release 11 — day 28, dose 4

2022-02-10

Symptoms: Existing G.I. Issues

Release 11 — day 35, dose 4

2022-02-17

Symptoms: I have Shingles which started about 6 days ago in the cervical thoracic area, left side. I had my Shindrex vaccine shots in March and April 2018. I am currently on an antiviral prescribed by my PCP

Healthcare visit (other): Follow up office appointment today

Release 11 — 3 months, dose 4

2022-04-14

Symptoms: I have already reported that I had the Shingles although I am vaccinated. Also I have Oral Lichen Planus. I have Idiopathic Mast Cell Diease and IggSD. I had a serious Mast Cell attack. Feeling better, dealing with a difficult farigue.

Release 12 — 6 months, dose 4

2022-07-14

Symptoms: IgG Deficiency

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	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Blood immunoglobulin G decreased	·	·	✓
SD	Bowel movement irregularity	·	·	✓
SD	Breast cancer	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Crohn's disease	·	·	✓
SD	Fatigue	·	·	✓
SD	Haematochezia	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Oral lichen planus	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Surgery	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Condition aggravated	✓	·	✓
SRO	Frequent bowel movements	✓	·	✓
SRO	Injection site pain	·	·	✓
SRO	Muscle spasms	✓	·	✓
SRO	Pre-existing disease	✓	·	✓

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