24G-19044-35506

5 vaccinations 19 coded responses 39 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 939 / CA
Registered: 2021-02-26

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Pruritus — Feeling: Fair · Site: Pain · Headache

Free text: I had headache, fatigue yesterday and was a bit itching on my upper left side on the back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: My headache gets better, but then comes back.

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

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Malaise, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: I was sick the first two days after my vaccine. On Sunday 21 fatigue pain and headache but not feverache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Fatigue, Headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I am generally more tired than usual and have slight headaches that does not go away. And a little bit of upset stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Asthenia, Cough, Gastrooesophageal reflux disease, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I still am low in energy have occasional headaches and upset stomach and my stomach gets very acidic and makes me cough when I lie down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: I still get the occasional headaches that I started getting after the vaccination. They are different from my migraine headaches and not exactly a sinus headche but kind of similar to one but mostly in my forehead

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Dose 3 — Moderna
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-20
Dose 4 — Pfizer-BioNTech
2022-06-23
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: All of these started the day after my shot.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Survey response — days 1–6 daily, dose 4
MedDRA: Constipation — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mild constipation

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Abdominal pain

Adult check-in
2022-06-27
Survey response — day 7, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Survey response — day 14, dose 4
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got COVID

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Survey response — day 21, dose 4
MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was positive. And am sick.

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-25
Survey response — day 35, dose 4
MedDRA: Arthralgia, Blister, Discomfort, Dry skin, Joint swelling, Malaise, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: I started having blisters on all my knocles on the second week after I got sick. They were swollen and now they are dried out and some of othem hurt. I also had a blister on my eye lid. No itching, no pain but discomfort and pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-19
Survey response — 3 months, dose 4
MedDRA: Asthenia, Asthenopia, Brain fog, Fatigue, Insomnia, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I am still weak and have sudden drops of energy and exhaustion that I cannot keep my eyes open. I have difficulty sleeping. My eye sight has weakened and I have brain fog which slows me down at work noticeably

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-12-13
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-14
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-15
Survey response — days 1–6 daily, dose 5
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My neck hurts on the side of the injection.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-12-20
Health check-in — day 7, dose 5
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-12-27
Survey response — day 14, dose 5
MedDRA: Arthralgia, Headache, Nausea, Neck pain, Pharyngeal disorder, Respiratory tract congestion, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a really bad headache with blurred vision, nausea and pain in my neck and shoulder on the side that I received the shot and some congestion and sensitiity in my throat. The last two symptoms go away during the day mostly but not the headache.

MedDRA releases: 2024-11 · check-in free text available
2023-01-16
Survey response — day 28, dose 5
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-24
Survey response — day 42, dose 5
MedDRA: Dyspnoea, Ear disorder, Respiratory tract congestion, Throat irritation — Feeling: Fair

MedDRA releases: 2024-11
2023-03-15
Survey response — 3 months, dose 5
MedDRA: Constipation, Surgery — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-13
Survey response — 6 months, dose 5
MedDRA: Dizziness, Dysphonia, Head discomfort, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Sensory disturbance, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-06-13
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-14
Call 1 — Left Voicemail
2023-06-14
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	2021-02-24	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-12-05	Moderna	No
4	2022-06-20	Pfizer-BioNTech	No
5	2022-12-13	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): I had headache, fatigue yesterday and was a bit itching on my upper left side on the back

2021-03-02

Systemic reaction (other): My headache gets better, but then comes back.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): I was sick the first two days after my vaccine. On Sunday 21 fatigue pain and headache but not feverache

Release 6 — day 14, dose 2

2021-04-03

Symptoms: I am generally more tired than usual and have slight headaches that does not go away. And a little bit of upset stomach.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: I still am low in energy have occasional headaches and upset stomach and my stomach gets very acidic and makes me cough when I lie down

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: I still get the occasional headaches that I started getting after the vaccination. They are different from my migraine headaches and not exactly a sinus headche but kind of similar to one but mostly in my forehead

Release 12 — days 1–6 daily, dose 4

2022-06-23

Systemic reaction (other): All of these started the day after my shot.

2022-06-24

Systemic reaction (other): Mild constipation

Release 12 — day 7, dose 4

2022-06-27

Systemic reaction (other): I tested positive for COVID

Release 12 — day 14, dose 4

2022-07-04

Symptoms: I got COVID

Release 12 — day 21, dose 4

2022-07-11

Symptoms: I was positive. And am sick.

Release 12 — day 35, dose 4

2022-07-25

Symptoms: I started having blisters on all my knocles on the second week after I got sick. They were swollen and now they are dried out and some of othem hurt. I also had a blister on my eye lid. No itching, no pain but discomfort and pain

Release 12 — 3 months, dose 4

2022-09-19

Symptoms: I am still weak and have sudden drops of energy and exhaustion that I cannot keep my eyes open. I have difficulty sleeping. My eye sight has weakened and I have brain fog which slows me down at work noticeably

Release 12 — days 1–6 daily, dose 5

2022-12-15

Systemic reaction (other): My neck hurts on the side of the injection.

Release 12 — day 14, dose 5

2022-12-27

Symptoms: I had a really bad headache with blurred vision, nausea and pain in my neck and shoulder on the side that I received the shot and some congestion and sensitiity in my throat. The last two symptoms go away during the day mostly but not the headache. cut off by CDC

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	Asthenia	✓	✓	✓
SD	Asthenopia	·	·	✓
SD	Blister	·	·	✓
SD	Brain fog	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Discomfort	·	·	✓
SD	Dizziness	·	·	✓
SD	Dry skin	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Joint swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngeal disorder	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sensory disturbance	·	·	✓
SD	Sinusitis	·	·	✓
SD	Surgery	·	·	✓
SD	Throat irritation	·	·	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Constipation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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