2J7-17810-80485

4 vaccinations 11 coded responses 44 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 474 / IN
Registered: 2021-02-28

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Headache, Malaise, Myalgia, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, dizziness, malaise, muscle pain, extreme dizziness, slept all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Injection site erythema, Injection site pruritus, Injection site swelling, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Redness, itching, swelling from injection site extends from shoulder to elbow. Itching kept me awake all night. Occasional SOB. Trying Benadryl now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Coordination abnormal, Dizziness — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, lack of coordination

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Peripheral swelling, Rash, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Upper arm red,hot, swollen rash

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Survey response — day 21, dose 3
MedDRA: Office visit, Pyrexia, White blood cell count increased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low grade fever, on antibiotic for elevated white count. · Healthcare visit (other): Routine doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Call 2 — Left Voicemail
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 42, dose 3
MedDRA: Fatigue, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe exhaustion. Sleeping 12+ hours a day

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Salmonellosis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Salmonella one week ago

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Dose 4 — Moderna
2022-06-14
Survey response — days 1–6 daily, dose 4
MedDRA: Asthenia, Chills, Myalgia, Pyrexia, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had the Moderna booster Friday at noon. Runny nose by 8pm. Additional symptoms by 10pm. Temp 104,chills, muscle pain, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Poor · Site: Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: On Saturday respiration rate of 60 with temp of 103.6

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-06-17
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-09
Survey response — 3 months, dose 4
MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: UTI · Healthcare visit (other): In office

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-12
Call 1 — Left Voicemail
2022-09-12
Call 1 — Left Voicemail
2022-12-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-10
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-06-10	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Headache, dizziness, malaise, muscle pain, extreme dizziness, slept all day

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Redness, itching, swelling from injection site extends from shoulder to elbow. Itching kept me awake all night. Occasional SOB. Trying Benadryl now.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Dizziness, lack of coordination

2021-10-06

Systemic reaction (other): Upper arm red,hot, swollen rash

2021-10-08

Systemic reaction (other): Short of breath

Release 10 — day 21, dose 3

2021-10-24

Symptoms: Low grade fever, on antibiotic for elevated white count.

Healthcare visit (other): Routine doctor visit

Release 10 — day 42, dose 3

2021-11-14

Symptoms: Severe exhaustion. Sleeping 12+ hours a day

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Salmonella one week ago

Release 12 — days 1–6 daily, dose 4

2022-06-14

Systemic reaction (other): I had the Moderna booster Friday at noon. Runny nose by 8pm. Additional symptoms by 10pm. Temp 104,chills, muscle pain, weakness

2022-06-15

Systemic reaction (other): On Saturday respiration rate of 60 with temp of 103.6

Release 12 — 3 months, dose 4

2022-09-09

Symptoms: UTI

Healthcare visit (other): In office

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	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Salmonellosis	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	White blood cell count increased	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Chills	·	·	✓
SRO	Coordination abnormal	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Rash	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin warm	·	·	✓
SRO	Somnolence	✓	✓	✓

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