2H5-33059-09421

5 vaccinations 22 coded responses 63 check-ins 21 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 520 / IA
Registered: 2021-04-04

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-04
Registered in v-safe
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Fair · Fatigue or tiredness

Free text: Chills without the sweats... kind of.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Periorbital swelling, Visual impairment — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Eyes feel swollen and puffy. Vision slightly impaired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Asthenopia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Eyes feel stressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Paraesthesia, Rash — Feeling: Good

Free text: Just bumps breaking out all over my upper and lower arms. They are different from my usual upper arm ones and Ive never had them in my lower arms before. I did have slight pins and needle feelings when touching my side 3 days ago but it has gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Bumpy rash on lower arms and on my back a bit. Pimple like but not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Fatigue, Photophobia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Eyes feel dry and really tired. Light sensitivity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Heart rate decreased — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Low heart beat when I feel cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sweats with any exertion. Heart rate fluctuating based on chills or sweats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate irregular — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Heart rate still fluctuating extra high and extra low during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate decreased, Heart rate increased — Feeling: Fair · Site: Pain · Nausea

Free text: Heart rate still fluctuating high and low.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Faeces discoloured, Muscle spasms — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe diarrhea. Complete yellow liquid and cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Liquid bowel movements that are explosive. Been 2 weeks now. Stop for a few days abs cake back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to work, 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: Diarrhea got really bad. Pure liquid. Stool tests came up negative so dr concluded it must have been a virus. Starting to improve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Call 2 — Left Voicemail
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Fatigue, Office visit, Postmenopausal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Post-menopausal bleeding. Just tired. · Healthcare visit (other): Dr visit at OB/GYN medical facility.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-28
Call 2 — Left Voicemail
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · 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

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Office visit, Postmenopausal haemorrhage, Vaccine positive rechallenge — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Slight post-menopausal bleeding. Happened after 2nd booster too. No known reasons from dr. · Healthcare visit (other): Dr appt in office, ultra-sound and biopsy

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 2 — Left Voicemail
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Gastrointestinal issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 42, dose 3
MedDRA: Faeces soft, Gastrointestinal disorder, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bowels have not been normal since vaccine. Still soft stool and cramps after eating.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-04-29
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-06
Survey response — day 7, dose 4
MedDRA: Cough, Dyspnoea — Feeling: Fair

Free text: Dry Cough, severe at times. Can't get my breath.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 21, dose 4
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dry cough. Can't get my breath sometimes. Antibiotics didn't work and nothing on x-ray of lungs.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Survey response — 3 months, dose 4
MedDRA: Cough, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A bad cough that isn't relieved with anything but steroids. As soon as off, cough is back. · Healthcare visit (other): Allergy testing (negative) and steroid 10 day regiment. Cane back a week later.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-01
Call 1 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-08-01
Call 1 — Left Voicemail
2022-09-27
Dose 5 — Pfizer-BioNTech
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: Feeling hot, Syncope — Feeling: Poor · Fever · Be unable to do your normal daily activities

Free text: A little faint when standing up. Very warm to the touch

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-04
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Survey response — 6 months, dose 5
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No
5	2022-09-27	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Chills without the sweats... kind of.

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Eyes feel swollen and puffy. Vision slightly impaired.

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Eyes feel stressed

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Just bumps breaking out all over my upper and lower arms. They are different from my usual upper arm ones and Ive never had them in my lower arms before. I did have slight pins and needle feelings when touching my side 3 days ago but it has gone.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Bumpy rash on lower arms and on my back a bit. Pimple like but not.

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Eyes feel dry and really tired. Light sensitivity.

2021-04-29

Systemic reaction (other): Low heart beat when I feel cold.

2021-04-30

Systemic reaction (other): Sweats with any exertion. Heart rate fluctuating based on chills or sweats.

2021-05-01

Systemic reaction (other): Heart rate still fluctuating extra high and extra low during the day.

2021-05-02

Systemic reaction (other): Heart rate still fluctuating high and low.

Release 8 — day 28, dose 2

2021-05-25

Symptoms: Severe diarrhea. Complete yellow liquid and cramps.

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Liquid bowel movements that are explosive. Been 2 weeks now. Stop for a few days abs cake back.

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Diarrhea got really bad. Pure liquid. Stool tests came up negative so dr concluded it must have been a virus. Starting to improve.

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Post-menopausal bleeding. Just tired.

Healthcare visit (other): Dr visit at OB/GYN medical facility.

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Slight post-menopausal bleeding. Happened after 2nd booster too. No known reasons from dr.

Healthcare visit (other): Dr appt in office, ultra-sound and biopsy

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Gastrointestinal issues

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Bowels have not been normal since vaccine. Still soft stool and cramps after eating.

Release 11 — day 7, dose 4

2022-05-06

Systemic reaction (other): Dry Cough, severe at times. Can't get my breath.

Release 11 — day 21, dose 4

2022-05-20

Symptoms: Dry cough. Can't get my breath sometimes. Antibiotics didn't work and nothing on x-ray of lungs.

Release 12 — 3 months, dose 4

2022-07-29

Symptoms: A bad cough that isn't relieved with anything but steroids. As soon as off, cough is back.

Healthcare visit (other): Allergy testing (negative) and steroid 10 day regiment. Cane back a week later.

Release 12 — days 1–6 daily, dose 5

2022-09-28

Systemic reaction (other): A little faint when standing up. Very warm to the touch

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	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Faeces discoloured	✓	✓	✓
SD	Faeces soft	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Rash	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Asthenopia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Eye swelling	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Syncope	·	·	✓
SRO	Visual impairment	✓	✓	✓

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