2N9-31184-66316

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 853 / AZ
Registered: 2021-01-15

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

2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Oropharyngeal pain, Pain — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches

Free text: With freezing chills had a sore throat all this happened after no reaction the first 10 hrs. The. It hit I showered took tylenol woke up yesterday morning just a little achy and great tioday!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Self-medication — Feeling: Good · Headache

Free text: Just a low grade headache but enough to take Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Just every once in a while a momentary hollow feeling that I didnt have before. Kind of almost like a light headed ness. None since last evening tho

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 2
MedDRA: Migraine — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Migraine, Pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Several hours last night chills and migraine were not good. Took a warm shower and went to bed. Almost all chills gone. Some ache and headache still there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Fatigue, Headache, Self-medication — Feeling: Fair · Headache, Nausea

Free text: Low grade head ache. Tylenol took care of that. Very unsettled stomach last night and off and on today along with very tired during the day. Much better tonight! Just cant say I felt as good as I did yet when I got the second shot this week! Hopefully that will be soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Just a slight annoying headache!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 14, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: No idea if connected at all. I had not had migraines forever after having many. Since the vaccination I have had three! Not fun and no idea if connected to tied to the vaccination!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Dehydration, Diarrhoea, Emergency care, Malaise, Pain, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: At ER 2 days ago. Had vomiting and diarrhea for 14 hrs. Very dehydrated and very sick! Aches and pain. Cant remember so sick in a long time IV and magnesium helped. Not fun

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — 3 months, 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)
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Feeling abnormal, Headache — Feeling: Good · Site: Itching

Free text: Not now 5 hrs after shot started feeling bad. Headache and joints achy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No. All is good

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Just a low grade annoying headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): With freezing chills had a sore throat all this happened after no reaction the first 10 hrs. The. It hit I showered took tylenol woke up yesterday morning just a little achy and great tioday!

2021-01-17

Systemic reaction (other): Just a low grade headache but enough to take Tylenol

2021-01-19

Systemic reaction (other): Just every once in a while a momentary hollow feeling that I didnt have before. Kind of almost like a light headed ness. None since last evening tho

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Migraine

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Several hours last night chills and migraine were not good. Took a warm shower and went to bed. Almost all chills gone. Some ache and headache still there

2021-02-05

Systemic reaction (other): Low grade head ache. Tylenol took care of that. Very unsettled stomach last night and off and on today along with very tired during the day. Much better tonight! Just cant say I felt as good as I did yet when I got the second shot this week! Hopefully that will be soon

2021-02-07

Systemic reaction (other): Just a slight annoying headache!

Release 4 — day 14, dose 2

2021-02-17

Symptoms: No idea if connected at all. I had not had migraines forever after having many. Since the vaccination I have had three! Not fun and no idea if connected to tied to the vaccination!

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: At ER 2 days ago. Had vomiting and diarrhea for 14 hrs. Very dehydrated and very sick! Aches and pain. Cant remember so sick in a long time IV and magnesium helped. Not fun

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Not now 5 hrs after shot started feeling bad. Headache and joints achy

2021-09-30

Systemic reaction (other): No. All is good

Release 10 — day 35, dose 3

2021-11-01

Symptoms: Just a low grade annoying headache

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
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	·	·	✓
SD	Malaise	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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