2L3-18417-08677

4 vaccinations 8 coded responses 43 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 548 / WI
Registered: 2021-03-22

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Pain — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I started to feel alot of aches on day 3. That lasted for 3 days. I had a pressure headache from the 1st evening after the shot. The headache last for 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Fever · Chills, Fatigue or tiredness, Diarrhea

Free text: This is my 3rd day with diarrhea. Today is day 6 post vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

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

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Burning sensation, Diarrhoea, Headache, Lymphadenopathy, Myalgia, Neck pain, Pain, Pleurisy, Rash, Rash erythematous, Rash pruritic, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning headache, swollen gland, back of neck hurts, on and off feeling of pleurisy. Diarrhea, stomach ache, muscles aches and burning sensation. My palms had a red itching rash; that has now stopped. Also sneezing alot; but that has also stopped.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chest pain, Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I contracted covid in December. I have ongoing fatigue and occasional chest pains. · Healthcare visit (other): Appointment with a Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-05
Call 1 — Left Voicemail
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-02
Health check-in — day 0, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-04
Health check-in — days 1–6 daily, dose 4
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
2022-11-05
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease, Pseudomonas infection — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have pseudomonos aearuginosa in my kidneys/ bladder. I am immucompromized due to a spleenectomy as a teen.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-08
Survey response — days 1–6 daily, dose 4
MedDRA: Kidney infection, Urinary tract infection — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Have started Cipro 500mg QID for renal / UTI infection.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-11-16
Survey response — day 14, dose 4
MedDRA: Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I may have a renal infection as the Cipro is not helping my UTI.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-11-17
Call 2 — Left Voicemail
2022-11-17
Call 1 — Left Voicemail
2022-11-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-11-02	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): I started to feel alot of aches on day 3. That lasted for 3 days. I had a pressure headache from the 1st evening after the shot. The headache last for 3 days.

2021-03-23

Systemic reaction (other): This is my 3rd day with diarrhea. Today is day 6 post vaccine.

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Mild dizziness

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Burning headache, swollen gland, back of neck hurts, on and off feeling of pleurisy. Diarrhea, stomach ache, muscles aches and burning sensation. My palms had a red itching rash; that has now stopped. Also sneezing alot; but that has also stopped.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: I contracted covid in December. I have ongoing fatigue and occasional chest pains.

Healthcare visit (other): Appointment with a Cardiologist

Release 12 — days 1–6 daily, dose 4

2022-11-05

Systemic reaction (other): I have pseudomonos aearuginosa in my kidneys/ bladder. I am immucompromized due to a spleenectomy as a teen.

2022-11-08

Systemic reaction (other): Have started Cipro 500mg QID for renal / UTI infection.

Release 12 — day 14, dose 4

2022-11-16

Symptoms: I may have a renal infection as the Cipro is not helping my UTI.

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	Abdominal pain upper	·	·	✓
SD	Burning sensation	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pleurisy	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Sneezing	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Kidney infection	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pseudomonas infection	·	·	✓
SRO	Urinary tract infection	·	·	✓

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