2N9-33897-08053

5 vaccinations 16 coded responses 42 check-ins 16 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 722 / AR
Registered: 2021-01-21

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

2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-21
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Ive had hives, but I had them a couple days before I got the injection also. I think its the new seasoning that I have bought. These highs are not related to the shot. I get them a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 1
MedDRA: Arthralgia, Self-medication — Feeling: Good · Joint pains

Free text: Took a Claritin yesterday, and always causes joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work

Free text: Pretty sure it was food poisoning, but I had stomach cramps, and diarrhea for two days. I went and took the Covid test and it was negative. I took the Covid test for days after the symptoms started.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Good

Free text: Heart burn not from shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: COVID-19, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I had Covid · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
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

1 call case(s)
2021-08-12
Call 2 — Left Voicemail
2021-08-13
Call 3 — Requested Callback
2021-11-19
Dose 3 — Pfizer-BioNTech
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-24
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 21, dose 4
MedDRA: Feeling hot, Headache, Stress — Feeling: Poor

Free text: I felt too warm today, I have a headache and have taken something for it twice. This has been a stressful week at school as I am a teacher. I don't think it comes from the shot.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — day 28, dose 4
MedDRA: Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Flu like symptoms. I took two negative Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Survey response — 3 months, dose 4
MedDRA: Abdominal pain upper, Feeling cold, Hospitalisation, Muscle rupture, Pain, Screaming — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: I am in Baptist hospital. Not Covid related. I've got a tear in my stomach are growing muscle that's so painful I can't stand it · Healthcare visit (other): Was hurt so bad I was frozen, and screaming

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2022-10-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Survey response — day 0, dose 5
MedDRA: Colectomy, Intestinal resection — Feeling: Good · Abdominal pain · Be unable to work or attend school

Free text: I just had major surgery had my colon and foot of intestine removed. I am on the mend and doing fine

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I think I'm getting a bladder infection, I don't feel relief when I use the bathroom number one · Healthcare visit (other): Today Sunday, I'm calling my doctor in the morning

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Cystitis — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activities

Free text: Being treated for a bladder Infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Cystitis, Surgery — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I had recent surgery this is not due to the Covid shot · Healthcare visit (other): Had a blood draw for thyroid, and bladder infection treatment

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · None

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-28
Survey response — day 14, dose 5
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have narrowing of the spine so I'm getting an MRI on Monday. Has nothing to do with my Covid shot. It's been coming on for a long time. · Healthcare visit (other): Orthopedic doctor

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 28, dose 5
MedDRA: Feeling hot — Feeling: Poor

Free text: I just got home from spending the day at my daughters house and I feel hot! I had a double back injection in my spine yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Ive had hives, but I had them a couple days before I got the injection also. I think its the new seasoning that I have bought. These highs are not related to the shot. I get them a lot.

2021-01-25

Systemic reaction (other): Just tired

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Took a Claritin yesterday, and always causes joint pains

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Pretty sure it was food poisoning, but I had stomach cramps, and diarrhea for two days. I went and took the Covid test and it was negative. I took the Covid test for days after the symptoms started.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Heart burn not from shot

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Tired

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: I had Covid

Healthcare visit (other): Doctors office

Release 11 — day 21, dose 4

2022-05-06

Symptoms: I felt too warm today, I have a headache and have taken something for it twice. This has been a stressful week at school as I am a teacher. I don't think it comes from the shot.

Release 11 — day 28, dose 4

2022-05-14

Symptoms: Flu like symptoms. I took two negative Covid test

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: I am in Baptist hospital. Not Covid related. I've got a tear in my stomach are growing muscle that's so painful I can't stand it

Healthcare visit (other): Was hurt so bad I was frozen, and screaming

Release 12 — day 0, dose 5

2022-10-14

Systemic reaction (other): I just had major surgery had my colon and foot of intestine removed. I am on the mend and doing fine

Release 12 — days 1–6 daily, dose 5

2022-10-16

Systemic reaction (other): I think I'm getting a bladder infection, I don't feel relief when I use the bathroom number one

Healthcare visit (other): Today Sunday, I'm calling my doctor in the morning

2022-10-17

Systemic reaction (other): Being treated for a bladder Infection

2022-10-18

Systemic reaction (other): I had recent surgery this is not due to the Covid shot

Healthcare visit (other): Had a blood draw for thyroid, and bladder infection treatment

Release 12 — day 14, dose 5

2022-10-28

Symptoms: I have narrowing of the spine so I'm getting an MRI on Monday. Has nothing to do with my Covid shot. It's been coming on for a long time.

Healthcare visit (other): Orthopedic doctor

Release 12 — day 28, dose 5

2022-11-11

Symptoms: I just got home from spending the day at my daughters house and I feel hot! I had a double back injection in my spine yesterday

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	Cystitis	·	·	✓
HCVO	Feeling cold	·	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Pain	·	·	✓
HCVO	Screaming	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	COVID-19	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Muscle rupture	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Stress	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Bladder pain	·	·	○
SRO	Colectomy	·	·	✓
SRO	Cystitis	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Intestinal resection	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Surgery	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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