2AZ-13291-32166

5 vaccinations 18 coded responses 45 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 277 / NC
Registered: 2021-03-05

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Early AM loss of appetite but passed ~24hrs after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Depression? Cried several times for no reason

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Mild depression (?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Vision blurred — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Eye pain/eye focus off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: :-D

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Arthralgia, Arthritis, Depressed mood, Fatigue — Feeling: Fair

Free text: Yesterday all joints were painful/inflamed- no relief from Tylenol Advil or Diclofenac; extreme exhaustion. Due to essential status had to work but was extremely difficult but accomplished all tasks-felt depressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 2
MedDRA: Depression, Fatigue — Feeling: Fair

Free text: General exhaustion and depression (feeling despair, overwhelmed, helplessness) not typical for me. Must do my job/home as theres no one to help me care for others- no choice not to do daily activities - last questions have inadequate choices

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Arthropod bite, Infected bite, Inflammation, Mass, Office visit, Swelling — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A simple insect bite became inflamed and swollen; lesion developed due to inflammation and required medical attention. No apparent cause and no history of allergies; overactive immune response treated by urgent care medical staff. Resolved in 1 wk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Pfizer-BioNTech
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Call 1 — Left Voicemail
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-22
Dose 4 — Pfizer-BioNTech
2022-08-08
Survey response — day 14, dose 4
MedDRA: Fatigue, Nasal congestion, Nerve compression, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Exhaustion, nasal congestion, scratchy throat, unexplained nerve compression in right arm

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-09
Call 1 — Could Not Reach Participant
2022-08-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-09
Call successful
Not applicable - Accidental Reporting
2022-08-12
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-20
Dose 5 — Pfizer-BioNTech
2022-10-21
Survey response — 3 months, dose 4
MedDRA: Fatigue, Headache, Oropharyngeal pain, Sinusitis — Feeling: Fair

Free text: Since 3rd booster 2days ago developed headache, sore throat and what seems to be infected sinuses and unusual tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain, Sinus congestion, Sputum discoloured — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Sore throat/ sinus congestion/green mucus

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Sore throat -mild

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — days 1–6 daily, dose 5
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough when taking deep breathes

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-25
Survey response — days 1–6 daily, dose 5
MedDRA: Throat irritation — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Scratchy throat;

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea — Feeling: Good

Free text: Very mild shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — day 7, dose 5
MedDRA: Unevaluable event — Feeling: Good

Free text: :-D

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-17
Survey response — day 28, dose 5
MedDRA: Office visit, Osteitis, Pain in jaw, Self-medication, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Inflammation with jaw/tooth pain on right side - saw my dentist and confirmed no injury or infection but due to overall inflammatory response. Seems to be resolving with naproxen · Healthcare visit (other): Dental since pain was localized to right jaw and teeth

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call 2 — Left Voicemail
2022-11-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-19
Survey response — 3 months, dose 5
MedDRA: Dyspnoea, Office visit, Throat tightness — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-19
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-20
Call 1 — Left Voicemail
2023-01-20
Call 1 — Left Voicemail
2023-04-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-11-02	Pfizer-BioNTech	No
4	2022-07-22	Pfizer-BioNTech	No
5	2022-10-20	Pfizer-BioNTech	No

Call center

4 call center cases

2 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Early AM loss of appetite but passed ~24hrs after injection

2021-03-28

Systemic reaction (other): Depression? Cried several times for no reason

2021-03-30

Systemic reaction (other): Mild depression (?)

2021-03-31

Systemic reaction (other): Eye pain/eye focus off

2021-04-01

Systemic reaction (other): :-D

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Yesterday all joints were painful/inflamed- no relief from Tylenol Advil or Diclofenac; extreme exhaustion. Due to essential status had to work but was extremely difficult but accomplished all tasks-felt depressed

Release 7 — day 21, dose 2

2021-04-16

Symptoms: General exhaustion and depression (feeling despair, overwhelmed, helplessness) not typical for me. Must do my job/home as theres no one to help me care for others- no choice not to do daily activities - last questions have inadequate choices

Release 8 — day 42, dose 2

2021-05-07

Symptoms: A simple insect bite became inflamed and swollen; lesion developed due to inflammation and required medical attention. No apparent cause and no history of allergies; overactive immune response treated by urgent care medical staff. Resolved in 1 wk cut off by CDC

Release 12 — day 14, dose 4

2022-08-08

Symptoms: Exhaustion, nasal congestion, scratchy throat, unexplained nerve compression in right arm

Release 12 — 3 months, dose 4

2022-10-21

Symptoms: Since 3rd booster 2days ago developed headache, sore throat and what seems to be infected sinuses and unusual tiredness

Release 12 — days 1–6 daily, dose 5

2022-10-21

Systemic reaction (other): Sore throat/ sinus congestion/green mucus

2022-10-22

Systemic reaction (other): Sore throat -mild

2022-10-23

Systemic reaction (other): Cough when taking deep breathes

2022-10-25

Systemic reaction (other): Scratchy throat;

2022-10-26

Systemic reaction (other): Very mild shortness of breath

Release 12 — day 7, dose 5

2022-10-27

Systemic reaction (other): :-D

Release 12 — day 28, dose 5

2022-11-17

Symptoms: Inflammation with jaw/tooth pain on right side - saw my dentist and confirmed no injury or infection but due to overall inflammatory response. Seems to be resolving with naproxen

Healthcare visit (other): Dental since pain was localized to right jaw and teeth

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	·	·	✓
HCVO	Pain in jaw	·	·	✓
HCVO	Toothache	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Arthropod bite	✓	·	✓
SD	Depressed mood	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Infected bite	○	✓	○
SD	Inflammation	✓	✓	✓
SD	Mass	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nerve compression	·	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteitis	·	·	✓
SD	Self-medication	·	·	✓
SD	Sinusitis	·	·	✓
SD	Swelling	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Throat tightness	·	·	✓
SD	Toothache	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Sputum discoloured	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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