2Y3-14044-22458

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 483 / MI
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

2WZ-69800-30455 Child or adolescent in my care · Male · 2021-11-18

UZG-31354-12624 Child or adolescent in my care · Male · 2021-11-18

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache that won't go away since vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: Itching

Free text: Mild rash and itching at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: Itching

Free text: Mild rash and itching at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Emergency care, Migraine with aura, Ophthalmic migraine — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Two Migraine / occular migraines with visual auras in the last 2 weeks. Visited the ER 2 weeks ago and now trying to get an appointment with a neurologist.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 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

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Depression, Eye pain, Pain in extremity, Respiratory tract congestion, Sinus pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sudden depression, left calf and foot pain, congestion, sinus/eye pain, abdominal cramping

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Depression, Pain in extremity, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sudden depression, congestion, left calf and foot pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Electric shock sensation — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Electric pains/Zaps throughout body especially head

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still very achey especially hips and back.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Survey response — day 14, dose 3
MedDRA: Palpitations, Photopsia, Ventricular extrasystoles, Visual impairment — Feeling: Good

Free text: Visual Disturbances - Flashes (new) Heart Palpitations - PVCs (significantly increased)

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Headache that won't go away since vaccination.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Tinnitus

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Tinnitus

2021-05-04

Systemic reaction (other): Mild rash and itching at injection site

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Mild rash and itching at injection site

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Two Migraine / occular migraines with visual auras in the last 2 weeks. Visited the ER 2 weeks ago and now trying to get an appointment with a neurologist.

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Sudden depression, left calf and foot pain, congestion, sinus/eye pain, abdominal cramping

2021-12-03

Systemic reaction (other): Sudden depression, congestion, left calf and foot pain

2021-12-04

Systemic reaction (other): Electric pains/Zaps throughout body especially head

2021-12-05

Systemic reaction (other): Still very achey especially hips and back.

Release 10 — day 14, dose 3

2021-12-15

Symptoms: Visual Disturbances - Flashes (new) Heart Palpitations - PVCs (significantly increased)

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	Emergency care	✓	·	✓
SD	Headache	✓	✓	✓
SD	Migraine with aura	✓	·	✓
SD	Ophthalmic migraine	✓	·	✓
SD	Palpitations	·	·	✓
SD	Photopsia	·	·	✓
SD	Ventricular extrasystoles	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Depression	·	·	✓
SRO	Electric shock sensation	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus pain	·	·	✓
SRO	Tinnitus	✓	✓	✓

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