2LV-24033-08168

5 vaccinations 28 coded responses 50 check-ins 25 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 548 / WI
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vision very blurry

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

Free text: Blurry vision still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe dizziness since I got vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vision blurred — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy and blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness was severe again all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy and extremely blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy and blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — day 7, dose 2
MedDRA: Vision blurred — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · 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: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Hypotension — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, low blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 42, dose 2
MedDRA: Fatigue, Myalgia, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme fatigue, muscle pain, blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Decreased appetite, Diarrhoea, Impaired gastric emptying, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe Diarrhea & abdominal pain, loss of appetite and lost 45 lbs · Healthcare visit (other): Gastric emptying study, Developed Gastroperesis

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 3 — Left Voicemail
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Impaired gastric emptying, Nasopharyngitis, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Poor · 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: Symptoms: Developed Gastoperesis & have duarrhea all the time. Also had a bad cold or something w/ low grade fever for 2 wks. Have had 2 negative Covid tests in last 2 months · Healthcare visit (other): Covid tests @ hospital

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-24
Call 3 — Left Voicemail
2021-12-03
Dose 3 — Pfizer-BioNTech
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fall, Fatigue, Headache, Injection site pain, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Dizzy, falling down alot everyday, extreme fatigue, severe muscle pain, headaches everday. Injection site on arm hurt for 3 months. Still extremely fatigued & dizzy& headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 2 — Left Voicemail
2022-04-22
Callback requested for
05:00PM ET
2022-06-09
Dose 4 — Pfizer-BioNTech
2022-06-10
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Asthma flared up

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Productive cough, Secretion discharge, Vision blurred — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Asthma coughing alot w/ mucuc, blurry vision still

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough, Vision blurred — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Astha coughing alot, blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-15
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough, Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Asthma coughing, blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Health check-in — day 7, dose 4
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-23
Survey response — day 14, dose 4
MedDRA: Asthma, Cyst, Fatigue, Headache, Pain, Pre-existing disease, Productive cough — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue, headaches, multiple asthm attacks increse w/ a Wet cough, Cysts on body& still severe headaches & Severe body aches

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Call 3 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-30
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-07-07
Survey response — day 28, dose 4
MedDRA: Arthralgia, Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still extreme fatigue & muscle & joint pain & headaches

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-21
Survey response — day 42, dose 4
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle & joint pains still bad, extremely tired still too

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-29
Dose 5 — Pfizer-BioNTech
2022-11-30
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pain in my upper right buttock like I had the injection there.

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-12-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-12-03
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-12-04
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-12-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Chills, 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 do your normal daily activities

Adult check-in
2022-12-06
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-12-14
Survey response — day 14, dose 5
MedDRA: Asthenia, Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, weakness, muscle pain & headaches worse

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — day 21, dose 5
MedDRA: Asthenia, Fatigue, Headache, Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, weakness, muscle & headaches, pain continues

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Health check-in — day 28, dose 5
Feeling: Poor

Adult check-in
2023-01-03
Survey response — day 35, dose 5
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-16
Survey response — day 42, dose 5
MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-28
Survey response — 3 months, dose 5
MedDRA: Asthenia, Fatigue, Headache, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-28
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail
2023-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No
4	2022-06-09	Pfizer-BioNTech	No
5	2022-11-29	Pfizer-BioNTech	No

Call center

7 call center cases

7 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Vision very blurry

2021-04-04

Systemic reaction (other): Blurry vision still

2021-04-05

Systemic reaction (other): Severe dizziness since I got vaccine

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Dizzy and blurry vision

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Dizziness was severe again all day

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Dizziness

2021-04-23

Systemic reaction (other): Dizzy and extremely blurry vision

2021-04-24

Systemic reaction (other): Dizzy and blurry vision

2021-04-25

Systemic reaction (other): Blurry vision

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Blurry vision

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Fatigue, low blood pressure

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Extreme fatigue, muscle pain, blurry vision

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Severe Diarrhea & abdominal pain, loss of appetite and lost 45 lbs

Healthcare visit (other): Gastric emptying study, Developed Gastroperesis

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Developed Gastoperesis & have duarrhea all the time. Also had a bad cold or something w/ low grade fever for 2 wks. Have had 2 negative Covid tests in last 2 months

Healthcare visit (other): Covid tests @ hospital

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Dizzy, falling down alot everyday, extreme fatigue, severe muscle pain, headaches everday. Injection site on arm hurt for 3 months. Still extremely fatigued & dizzy& headaches

Release 12 — days 1–6 daily, dose 4

2022-06-10

Systemic reaction (other): Asthma flared up

2022-06-11

Systemic reaction (other): Asthma coughing alot w/ mucuc, blurry vision still

2022-06-12

Systemic reaction (other): Astha coughing alot, blurry vision

2022-06-15

Systemic reaction (other): Asthma coughing, blurry vision

Release 12 — day 14, dose 4

2022-06-23

Symptoms: Extreme fatigue, headaches, multiple asthm attacks increse w/ a Wet cough, Cysts on body& still severe headaches & Severe body aches

Release 12 — day 28, dose 4

2022-07-07

Symptoms: Still extreme fatigue & muscle & joint pain & headaches

Release 12 — day 42, dose 4

2022-07-21

Symptoms: Muscle & joint pains still bad, extremely tired still too

Release 12 — days 1–6 daily, dose 5

2022-11-30

Systemic reaction (other): Pain in my upper right buttock like I had the injection there.

Release 12 — day 14, dose 5

2022-12-14

Symptoms: Fatigue, weakness, muscle pain & headaches worse

Release 12 — day 21, dose 5

2022-12-22

Symptoms: Fatigue, weakness, muscle & headaches, pain continues

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	Impaired gastric emptying	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	Cyst	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypotension	✓	✓	✓
SD	Impaired gastric emptying	·	·	✓
SD	Injection site pain	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Weight decreased	·	·	✓
SRO	Asthma	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Secretion discharge	·	·	✓
SRO	Vision blurred	✓	✓	✓

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