2PH-30464-32414

4 vaccinations 11 coded responses 37 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 495 / MI
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 1
MedDRA: Chills, Headache, Nausea, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On Tues., 4/20/21, I had chills, body aches, nausea, and a headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel lightheaded again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Malaise — Feeling: Good · Be unable to do your normal daily activities

Free text: Last weekend I had diarrhea and general malaise, and was very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 21, dose 2
MedDRA: Dizziness, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea and vomiting, lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Food poisoning, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Food poisoning - vomiting and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Sore throat, headache, head congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Dose 3 — Moderna
Co-administered: Flu
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Dizziness, Headache, Hypoaesthesia, Paraesthesia, Visual impairment, White matter lesion — Feeling: Fair · Be unable to work or attend school, 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, Emergency room or emergency department visit

Free text: White matter in brain causing visual disturbances, severe headaches, numbness/tingling, lightheadedness. Awaiting diagnosis.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-03
Call 1 — Left Voicemail
2022-10-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-07
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2022-10-21
Survey response — day 14, dose 4
MedDRA: Cardiac pacemaker insertion, Cardiovascular disorder, Cardioversion, Hospitalisation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Hospitalized for 4 days for treatment of cardiovascular issues. Underwent cardioversion, implantation of pacemaker, and heart catheterization.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-10-24
Call 2 — Left Voicemail
2022-10-24
Call 1 — Left Voicemail
2022-10-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-06
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-07
Survey response — 6 months, dose 4
MedDRA: Atrial fibrillation, Atrioventricular block, Cardiac failure congestive, Cardiac pacemaker insertion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2023-04-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-12-17	Moderna	Flu
4	2022-10-07	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-23

Symptoms: On Tues., 4/20/21, I had chills, body aches, nausea, and a headache.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): I feel lightheaded

2021-05-02

Systemic reaction (other): I feel lightheaded

2021-05-06

Systemic reaction (other): I feel lightheaded again

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Last weekend I had diarrhea and general malaise, and was very tired.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Nausea and vomiting, lightheadedness

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Food poisoning - vomiting and diarrhea

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Sore throat, headache, head congestion

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: White matter in brain causing visual disturbances, severe headaches, numbness/tingling, lightheadedness. Awaiting diagnosis.

Release 12 — day 14, dose 4

2022-10-21

Symptoms: Hospitalized for 4 days for treatment of cardiovascular issues. Underwent cardioversion, implantation of pacemaker, and heart catheterization.

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	Atrial fibrillation	·	·	✓
SD	Atrioventricular block	·	·	✓
SD	Cardiac failure congestive	·	·	✓
SD	Cardiac pacemaker insertion	·	·	✓
SD	Cardiovascular disorder	·	·	✓
SD	Cardioversion	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Food poisoning	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	✓	✓	✓
SD	White matter lesion	·	·	✓
SRO	Dizziness	✓	✓	✓

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