2VJ-73066-51936

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 481 / MI
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Nausea, Abdominal pain

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — day 14, dose 1
MedDRA: Eczema, Rash pruritic, Self-medication — Feeling: Good

Free text: eczema like rash on my left arm right where I received the vaccine. It was very itchy at first. I have been applying topical creams to it. Kind if a surprise because it did not appear until the 5 day after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-17
Survey response — day 0, dose 2
MedDRA: Hot flush — Feeling: Good · Site: Pain

Free text: hot flash this is usual because I am usually cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Muscle or body aches, Diarrhea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-26
Survey response — day 7, dose 2
MedDRA: Dysphonia, Respiratory tract congestion — Feeling: Good · Site: Redness

Free text: hoarseness and stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: some bouts of diarrhea, going to a Doctor next week to get it checked out

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Nausea

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Nausea, Diarrhea

Adult check-in
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: more acid reflux

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-30
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Diarrhoea, Flatulence — Feeling: Fair

Free text: upset stomach, diarrhea, lots of gas. I think sone cheese or turkey pepperoni slices did nit agree with me. I also ate lactose free ice cream

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — day 35, dose 3
MedDRA: Erythema, Tenderness — Feeling: Good

Free text: the bottom of my feet are red and tender to touch

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Survey response — 6 months, dose 3
MedDRA: Ligament sprain, Office visit, SARS-CoV-2 test, Sinusitis — Feeling: Good · 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, Hospitalization

Free text: Symptoms: I thought I broke my right hand, luckily I did not, just a bad sprain. Also I had a sinus infection · Healthcare visit (other): I went to Urgent care to get the overnight COVID 19 test

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — 6 months, dose 3
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 · Hospitalization · 1 call case(s)
2022-04-20
Call successful
Not applicable - Accidental Reporting
2022-10-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-10

Symptoms: eczema like rash on my left arm right where I received the vaccine. It was very itchy at first. I have been applying topical creams to it. Kind if a surprise because it did not appear until the 5 day after vaccine

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): hot flash this is usual because I am usually cold

Release 7 — day 7, dose 2

2021-04-26

Systemic reaction (other): hoarseness and stuffiness

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: some bouts of diarrhea, going to a Doctor next week to get it checked out

Release 10 — days 1–6 daily, dose 3

2021-10-20

Systemic reaction (other): more acid reflux

Release 10 — day 14, dose 3

2021-10-30

Symptoms: upset stomach, diarrhea, lots of gas. I think sone cheese or turkey pepperoni slices did nit agree with me. I also ate lactose free ice cream

Release 10 — day 35, dose 3

2021-11-18

Symptoms: the bottom of my feet are red and tender to touch

Release 11 — 6 months, dose 3

2022-04-14

Symptoms: I thought I broke my right hand, luckily I did not, just a bad sprain. Also I had a sinus infection

Healthcare visit (other): I went to Urgent care to get the overnight COVID 19 test

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	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Eczema	✓	✓	✓
SD	Erythema	·	·	✓
SD	Flatulence	·	·	✓
SD	Ligament sprain	·	·	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tenderness	·	·	✓
SRO	Dysphonia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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