2XM-29854-94307

3 vaccinations 21 coded responses 38 check-ins 21 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 198 / DE
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — day 7, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Nausea

Free text: Dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Headache, Self-medication, Vertigo — Feeling: Good · Be unable to work

Free text: Have had intermittent headaches; vertigo from post VAX day 8 and 9 resolved with meclizine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
Be unable to work

1 call case(s)
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Good

Free text: Vertigo/dizziness-sporadic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Be unable to work

Free text: Vertigo/dizziness: constant. I had this same feeling d7-8 after my first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 35, dose 2
MedDRA: Abnormal uterine bleeding, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abnormal uterine bleeding Pelvic pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 42, dose 2
MedDRA: Abdominal pain lower, Menstrual disorder — Feeling: Fair

Free text: New abnormal menstrual cycles and pelvic cramps since dose 2, not previously reported bc I thought it wasnt relevant. Now Im hearing this is a more common issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Colitis ulcerative, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flare of ulcerative colitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Flare of IBD

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: IBD flare

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: IBD flare

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Good

Free text: IBD flare

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 7, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: IBD flare

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 28, dose 3
MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Good

Free text: IBD flareongoing

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: COVID 19 infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-11-03
Call 2 — Left Voicemail
2022-11-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-11-02	Moderna	No

Call center

4 call center cases

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

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Dizziness/vertigo

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Have had intermittent headaches; vertigo from post VAX day 8 and 9 resolved with meclizine

Release 2 — day 0, dose 2

2021-01-19

Systemic reaction (other): Dizziness

Release 2 — days 1–6 daily, dose 2

2021-01-20

Systemic reaction (other): Dizziness/vertigo

2021-01-21

Systemic reaction (other): Dizziness

2021-01-22

Systemic reaction (other): Dizziness

2021-01-23

Systemic reaction (other): Dizziness

2021-01-24

Systemic reaction (other): Dizziness intermittently

2021-01-25

Systemic reaction (other): Vertigo/dizziness-sporadic

Release 2 — day 7, dose 2

2021-01-26

Systemic reaction (other): Vertigo/dizziness: constant. I had this same feeling d7-8 after my first dose

Release 4 — day 35, dose 2

2021-02-23

Symptoms: Abnormal uterine bleeding Pelvic pain

Release 4 — day 42, dose 2

2021-03-02

Symptoms: New abnormal menstrual cycles and pelvic cramps since dose 2, not previously reported bc I thought it wasnt relevant. Now Im hearing this is a more common issue.

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Flare of ulcerative colitis

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Flare of IBD

2021-11-05

Systemic reaction (other): IBD flare

2021-11-06

Systemic reaction (other): IBD flare

2021-11-08

Systemic reaction (other): IBD flare

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): IBD flare

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Sore throat

Release 10 — day 28, dose 3

2021-11-30

Symptoms: IBD flareongoing

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: COVID 19 infection

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	Abdominal pain lower	✓	✓	✓
SD	Abnormal uterine bleeding	✓	✓	✓
SD	Colitis ulcerative	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pelvic pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Irritable bowel syndrome	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Vertigo	✓	✓	✓

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