ZYQ-76117-05209

5 vaccinations 13 coded responses 48 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 455 / OH
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-18
Survey response — day 35, dose 2
MedDRA: Back pain, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Back pain and small area of rash on my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to work or attend school

Free text: GI uu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · 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
2021-10-17
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache

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

Adult check-in
2021-10-29
Health check-in — day 28, 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
2022-04-01
Survey response — 6 months, dose 3
MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call successful
Does not wish to fill out VAERS report
2022-07-07
Dose 4 — Pfizer-BioNTech
2022-07-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-14
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-21
Survey response — day 14, dose 4
MedDRA: Headache — 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 · Telehealth, virtual health, or email health consultation

Free text: Headache, left forehead and left base of neck

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — day 14, dose 4
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)
2022-07-22
Call successful
Not applicable - Accidental Reporting
2022-07-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-04
Survey response — day 28, dose 4
MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Survey response — day 35, dose 4
MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen feet and ankles

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Survey response — day 42, dose 4
MedDRA: Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Feet swelled. Dr. yesterday said it was due to a new medication, ehich is being discontinued. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-27
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-25
Survey response — day 28, dose 5
MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Foot and hip pain · Healthcare visit (other): Dr. Visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-11-08
Survey response — day 42, dose 5
MedDRA: Arthritis, Office visit, Osteoporosis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with severe osteoporosis in both hips and arthritis in the Lisfranc joint of my left midfoot · Healthcare visit (other): Doctor's visits

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-28
Survey response — 6 months, dose 5
MedDRA: Vomiting — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-28
Report sent to call center — 6 months, dose 5
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)
2023-03-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-29
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	2021-02-19	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-07-07	Pfizer-BioNTech	No
5	2022-09-27	Pfizer-BioNTech	Flu

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-12

Symptoms: Headache

Release 7 — day 35, dose 2

2021-04-18

Symptoms: Back pain and small area of rash on my chest

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: GI uu

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Loss of appetite

Release 10 — day 14, dose 3

2021-10-17

Symptoms: Headache

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Covid

Release 12 — day 14, dose 4

2022-07-21

Symptoms: Headache, left forehead and left base of neck

Release 12 — day 28, dose 4

2022-08-04

Symptoms: Mild vertigo

Release 12 — day 35, dose 4

2022-08-11

Symptoms: Swollen feet and ankles

Release 12 — day 42, dose 4

2022-08-18

Symptoms: Feet swelled. Dr. yesterday said it was due to a new medication, ehich is being discontinued.

Healthcare visit (other): Office visit

Release 12 — day 28, dose 5

2022-10-25

Symptoms: Foot and hip pain

Healthcare visit (other): Dr. Visit

Release 12 — day 42, dose 5

2022-11-08

Symptoms: Diagnosed with severe osteoporosis in both hips and arthritis in the Lisfranc joint of my left midfoot

Healthcare visit (other): Doctor's visits

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 discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Office visit	·	·	✓
SD	Osteoporosis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Rash	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Vomiting	·	·	✓
SRO	Decreased appetite	·	·	✓

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