2TV-10136-01890

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 730 / OK
Registered: 2020-12-18

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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-18
Registered in v-safe
2020-12-18
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Headache, Malaise, Nausea, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: General malaise today and a little queasy off and on flushed feeling and a headache that medicine hasn't really helped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Nausea, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Nauseated the first night with bad headache mild arm soreness still today and mild headache fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Headache — Feeling: Fair · Headache

Free text: Flushed feeling still mild To moderate headache off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Pain in extremity — Feeling: Good · Muscle or body aches

Free text: No headache today mild aches back and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Arm feels stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hyperhidrosis, Syncope — Feeling: Poor · Site: Pain · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tried to take a shower and felt dizzy like I was going to faint and sweat popped out all over me had to lay back down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Sweaty clammy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-28
Survey response — day 21, dose 2
MedDRA: Body temperature increased, Chills, Fatigue, Pyrexia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I ran a fever up to 102 and ran one for 4 days with body aches and chills and extreme fatigue I had been back to work one shift I went to the dr was covid and flu negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 28, dose 2
MedDRA: Pyrexia — Feeling: Good

Free text: I run a low grade fever every evening /night it ranges from 99.6-100.4 it is gone by morning now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 35, dose 2
MedDRA: Pyrexia — Feeling: Fair

Free text: Still continue to run a low grade fever at night between 99-100 most of the time my second shot was on Jan 7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 42, dose 2
MedDRA: Pyrexia — Feeling: Good

Free text: Still run a low grade fever in the evening/night since and vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-04-27
Call 1 — Left Voicemail
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Iritis, Myalgia, Office visit, Uveitis — Feeling: Good · 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

Free text: I have had iritis/uveitis in my eyes starting in July and am still dealing with the aftermath and under treatment for it I've also had an increase in all over muscle joint pain I've seen a dr for

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech

Call center

4 call center cases

2 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-18

Systemic reaction (other): General malaise today and a little queasy off and on flushed feeling and a headache that medicine hasn't really helped

2020-12-19

Systemic reaction (other): Nauseated the first night with bad headache mild arm soreness still today and mild headache fatigue

2020-12-20

Systemic reaction (other): Flushed feeling still mild To moderate headache off and on

2020-12-21

Systemic reaction (other): No headache today mild aches back and legs

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Arm feels stiff

2021-01-10

Systemic reaction (other): Tried to take a shower and felt dizzy like I was going to faint and sweat popped out all over me had to lay back down

2021-01-11

Systemic reaction (other): Sweaty clammy

Release 2 — day 21, dose 2

2021-01-28

Symptoms: I ran a fever up to 102 and ran one for 4 days with body aches and chills and extreme fatigue I had been back to work one shift I went to the dr was covid and flu negative

Release 3 — day 28, dose 2

2021-02-04

Symptoms: I run a low grade fever every evening /night it ranges from 99.6-100.4 it is gone by morning now

Release 4 — day 35, dose 2

2021-02-11

Symptoms: Still continue to run a low grade fever at night between 99-100 most of the time my second shot was on Jan 7

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Still run a low grade fever in the evening/night since and vaccine

Release 10 — 12 months, dose 2

2022-01-07

Symptoms: I have had iritis/uveitis in my eyes starting in July and am still dealing with the aftermath and under treatment for it I've also had an increase in all over muscle joint pain I've seen a dr for

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	Arthralgia	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Iritis	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Uveitis	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Syncope	✓	✓	✓

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