32T-20655-56579

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 606 / IL
Registered: 2021-04-03

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Fair · 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: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I don't know if there's a word for it, but just a general feeling like I'm coming down with something.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Light hurt my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-03
Survey response — day 7, dose 2
MedDRA: Heart rate decreased, Medical counselling, Oxygen saturation decreased — Feeling: Good · Site: Pain

Free text: My heart rate and OÂ² (this morning when I opened my eyes it was 50bpm and OÂ² was 80)have been consistantly low, possibly getting lower, for a few weeks. I don't think it's related but a friend (nurse) said I should report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Cardiac failure congestive, Dyspnoea, Heart rate decreased, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: CHF symptoms have gotten worse with increased shortness of breath, lower 0Â² levels and (generally) lower heart rate (BPM). Resting OÂ² average 86-94. Resting heartrate average 51-62. Yesterday however a minor emotional upset resulted in 115 BPM.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Dyspnoea, Impaired work ability, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: CHF is much worse. No idea if there is a relationship between vaccine and my current health. I have shortness of breath, heart rate in 45-55 BPM range. The question below 'unable to work' NA due to disability. Unable at present to see doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Heart rate increased, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart failure is worse... shortness of breath, at rest heart rate in 40s-50s, *slight* exertion can cause heart rate of 125+, no knowledge if my clotting disorder is a factor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Decreased appetite, Productive cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Episodes of runny nose, coughing up copious amounts of mucus, lack of appetite, stomach cramps, etc.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-11-03	Pfizer-BioNTech	Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I don't know if there's a word for it, but just a general feeling like I'm coming down with something.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Light hurt my eyes.

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): My heart rate and OÂ² (this morning when I opened my eyes it was 50bpm and OÂ² was 80)have been consistantly low, possibly getting lower, for a few weeks. I don't think it's related but a friend (nurse) said I should report it.

Release 8 — day 28, dose 2

2021-05-24

Symptoms: CHF symptoms have gotten worse with increased shortness of breath, lower 0Â² levels and (generally) lower heart rate (BPM). Resting OÂ² average 86-94. Resting heartrate average 51-62. Yesterday however a minor emotional upset resulted in 115 BPM. cut off by CDC

Release 8 — day 35, dose 2

2021-05-31

Symptoms: CHF is much worse. No idea if there is a relationship between vaccine and my current health. I have shortness of breath, heart rate in 45-55 BPM range. The question below 'unable to work' NA due to disability. Unable at present to see doctor.

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Heart failure is worse... shortness of breath, at rest heart rate in 40s-50s, *slight* exertion can cause heart rate of 125+, no knowledge if my clotting disorder is a factor.

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Episodes of runny nose, coughing up copious amounts of mucus, lack of appetite, stomach cramps, etc.

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 upper	✓	·	✓
SD	Cardiac failure congestive	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Heart rate decreased	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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