25M-10722-86687

4 vaccinations 12 coded responses 36 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-04-06

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

2021-03-16
Dose 1 — Pfizer-BioNTech
2021-04-06
Registered in v-safe
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change, Hot flush — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Free text: Ive had major hot flashes since getting the shot. I go from hot flashes to being cold. Back and forth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling cold, Hot flush — Feeling: Fair

Free text: Still extremely tired and major hot and cold flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme tiredness is back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Cholecystectomy — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Had gallbladder removal surgery

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-10-06
Call successful
Not applicable - Accidental Reporting
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-12
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills

Adult check-in
2021-10-13
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Flank pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left side and back hurt. I can't fully raise left arm due to pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Skin erosion, Skin fissures — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling of burning under arm to where it feels as if it's raw or chapped

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-19
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 21, dose 3
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extremely tired and nauseous

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Lymph node pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired and sore gland. Slight cough this morning but no fever

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Tired all the time since 2nd booster shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — 6 months, dose 4
MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Sneezing — 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

Free text: Covid. Sneezing, coughing, fever, sore throat, congestion, aches tired

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — 6 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-21
Call 2 — Left Voicemail
2023-04-21
Survey response — 12 months, dose 4
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail
2023-05-01
Call successful
Does not wish to fill out VAERS report
2023-05-01
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Ive had major hot flashes since getting the shot. I go from hot flashes to being cold. Back and forth

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Tired

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Still extremely tired and major hot and cold flashes

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Extreme tiredness is back

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Had gallbladder removal surgery

Release 10 — days 1–6 daily, dose 3

2021-10-13

Systemic reaction (other): Left side and back hurt. I can't fully raise left arm due to pain.

2021-10-14

Systemic reaction (other): Feeling of burning under arm to where it feels as if it's raw or chapped

Release 10 — day 21, dose 3

2021-11-02

Symptoms: Extremely tired and nauseous

Release 10 — 3 months, dose 3

2022-01-11

Symptoms: Tired and sore gland. Slight cough this morning but no fever

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: Tired all the time since 2nd booster shot

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Covid. Sneezing, coughing, fever, sore throat, congestion, aches tired

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	Cholecystectomy	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Back pain	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Flank pain	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Skin erosion	·	·	✓
SRO	Skin fissures	·	·	✓

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