27B-20890-04001

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 913 / CA
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

2021-03-14
Dose 1 — Pfizer-BioNTech
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Survey response — day 21, dose 2
MedDRA: Arthralgia, Diarrhoea, Fatigue, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue joint pain nausea diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Insomnia, Middle ear effusion, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia due to ear fluid & congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Middle ear effusion, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fluid in ears, tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Middle ear effusion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fluid in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Middle ear effusion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fluid in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 7, dose 3
MedDRA: Middle ear effusion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fluid in ears

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 14, dose 3
MedDRA: Insomnia, Middle ear effusion — Feeling: Good · Be unable to do your normal daily activities

Free text: Insomnia, fluid in ears

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 28, dose 3
MedDRA: Burning sensation, Chills, Cough, Fatigue, Headache, Insomnia, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever chills aches cough headache burning sensation in fingers and toes, fatigue, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — day 35, dose 3
MedDRA: Arthralgia, Chills, Middle ear effusion, Pain, Parosmia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fluid in ears, metallic smell in nose, chills, body aches, finger joints burning

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — day 42, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Insomnia, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Body pains, fatigue headache cough insomnia chills

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-17
Survey response — 12 months, dose 3
MedDRA: Hiatus hernia, Pre-existing disease, Surgery — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Chronic tendinosis, paraesophageal hernia · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — 12 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-12-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Fatigue joint pain nausea diarrhea

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Insomnia due to ear fluid & congestion

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Fluid in ears, tinnitus

2021-12-20

Systemic reaction (other): Fluid in ears

2021-12-21

Systemic reaction (other): Fluid in ears

Release 10 — day 7, dose 3

2021-12-22

Systemic reaction (other): Fluid in ears

Release 10 — day 14, dose 3

2021-12-29

Symptoms: Insomnia, fluid in ears

Release 10 — day 28, dose 3

2022-01-12

Symptoms: Fever chills aches cough headache burning sensation in fingers and toes, fatigue, insomnia

Release 10 — day 35, dose 3

2022-01-19

Symptoms: Fluid in ears, metallic smell in nose, chills, body aches, finger joints burning

Release 11 — day 42, dose 3

2022-01-27

Symptoms: Body pains, fatigue headache cough insomnia chills

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Chronic tendinosis, paraesophageal hernia

Healthcare visit (other): Surgery

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	Surgery	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hiatus hernia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Middle ear effusion	·	·	✓
SRO	Tinnitus	·	·	✓

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