26A-94581-35807

5 vaccinations 10 coded responses 19 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 957 / CA
Registered: 2020-12-28

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

Registered dependents

3MY-13590-07055 Adult relative or friend · Male · 2022-10-05

PVT-33883-51182 Child or adolescent in my care · Female · 2022-10-05

Timeline

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

2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-28
Registered in v-safe
2020-12-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2020-12-28
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2020-12-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation, Flatulence — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Constipation, gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation, Deafness, Flatulence — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Cant hear, constipation, gassy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Injection site pain, Pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Hard of hearing, zap like feeling in injection area radiating down

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

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Hypokinesia, Impaired healing, Injection site pain, Pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Healing issues and a radiating nerve like pain from injection site to elbow.. hard to lift sometimes..

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 work · Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Injected limb mobility decreased, Injection site reaction, Neuralgia, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hard to hear, injection site zapping feeling, like nerve pain that radiates down to my elbow. Hard to lift up also.

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

1 call case(s)
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Injection site reaction, Neuralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hard to hear and nerve like pain fron injection site to elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 7, dose 2
MedDRA: Deafness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hearing issue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2022-01-06
Survey response — 12 months, dose 2
MedDRA: Chills, Diarrhoea, Headache, Malaise — Feeling: Poor · Be unable to work or attend school

Free text: Diarrhea, chills, head ache, malaise,

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Dose 4 — Pfizer-BioNTech
2022-11-07
Dose 5 — Pfizer-BioNTech
Co-administered: Pneumonia:Tetanus
2022-12-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-05-09
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-06-22	Pfizer-BioNTech	No
5	2022-11-07	Pfizer-BioNTech	Pneumonia:Tetanus

Call center

4 call center cases

4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 2

2021-01-06

Systemic reaction (other): Flushed

Release 1 — days 1–6 daily, dose 2

2021-01-07

Systemic reaction (other): Constipation, gas

2021-01-08

Systemic reaction (other): Cant hear, constipation, gassy

2021-01-09

Systemic reaction (other): Hard of hearing, zap like feeling in injection area radiating down

2021-01-10

Systemic reaction (other): Healing issues and a radiating nerve like pain from injection site to elbow.. hard to lift sometimes..

2021-01-11

Systemic reaction (other): Hard to hear, injection site zapping feeling, like nerve pain that radiates down to my elbow. Hard to lift up also.

2021-01-12

Systemic reaction (other): Hard to hear and nerve like pain fron injection site to elbow

Release 1 — day 7, dose 2

2021-01-13

Systemic reaction (other): Hearing issue

Release 3 — day 28, dose 2

2021-02-03

Symptoms: Joint pains

Release 10 — 12 months, dose 2

2022-01-06

Symptoms: Diarrhea, chills, head ache, malaise,

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	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Hypokinesia	✓	✓	✓
SRO	Impaired healing	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓

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