332-47887-85376

5 vaccinations 16 coded responses 46 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 549 / WI
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Eye pruritus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchy sore eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Eye pruritus — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sore dry itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None · Be unable to work

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Oral herpes — Feeling: Good

Free text: Cold sore on lip 2X

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-21
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Pain

Free text: Fever blisters upper lip

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — day 21, dose 4
MedDRA: Dysphonia, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Sore throat, sl hoarseness sl runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 28, dose 4
MedDRA: COVID-19, Diarrhoea, Dysphonia, Ear discomfort, Fatigue, Headache, Lymphadenopathy, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Positive covid, hoarseness sore throat, swollen neck nodes headache extreme fatigue nasal congestion ears plugged diarrhea abd pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-23
Call 2 — Left Voicemail
2022-05-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-21
Survey response — 3 months, dose 4
MedDRA: Abdominal pain upper, Dizziness, Dyspnoea exertional, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Epigastric pain, nausea, severe headache, constant lightheaded, fatigue, short breath any exertion,

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-05
Survey response — day 7, dose 5
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: These signs all occured 24-48 hrs after injection, not now

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-07
Survey response — day 42, dose 5
MedDRA: Ear pain, Eye discharge, Head discomfort, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, yellow pus right eye, right earache, head pressure

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-08
Call 3 — Left Voicemail
2022-11-08
Call 2 — Left Voicemail
2022-12-26
Survey response — 3 months, dose 5
MedDRA: Dizziness, Epistaxis, Eye pain, Headache, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic congestion sinuses for 2 months with intermittent bloody nose. Sore throat, pain behind eyes. Lightheaded. Headache

MedDRA releases: 2024-11 · check-in free text available
2023-03-27
Survey response — 6 months, dose 5
MedDRA: Asthenopia, Balance disorder, Discomfort, Dizziness, Dry eye, Ear discomfort, Eye pain, Facial pain, Headache, Pre-existing disease — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-03-27
Report sent to call center — 6 months, dose 5
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 · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	Flu
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-26	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Extreme exhaustion

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Sore throat

2021-02-21

Systemic reaction (other): Itchy sore eyes

2021-02-22

Systemic reaction (other): Sore dry itchy eyes

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Cold sore on lip 2X

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Lightheaded

2022-04-24

Systemic reaction (other): Fever blisters upper lip

2022-04-25

Systemic reaction (other): Cold sores

2022-04-26

Systemic reaction (other): Cold sores

Release 11 — day 21, dose 4

2022-05-12

Symptoms: Sore throat, sl hoarseness sl runny nose

Release 11 — day 28, dose 4

2022-05-20

Symptoms: Positive covid, hoarseness sore throat, swollen neck nodes headache extreme fatigue nasal congestion ears plugged diarrhea abd pain

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: Epigastric pain, nausea, severe headache, constant lightheaded, fatigue, short breath any exertion,

Release 12 — day 7, dose 5

2022-10-05

Systemic reaction (other): These signs all occured 24-48 hrs after injection, not now

Release 12 — day 42, dose 5

2022-11-07

Symptoms: Sinus congestion, yellow pus right eye, right earache, head pressure

Release 12 — 3 months, dose 5

2022-12-26

Symptoms: Chronic congestion sinuses for 2 months with intermittent bloody nose. Sore throat, pain behind eyes. Lightheaded. Headache

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	Asthenopia	·	·	✓
SD	Balance disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Discomfort	·	·	✓
SD	Dizziness	·	·	✓
SD	Dry eye	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	·	·	✓
SD	Epistaxis	·	·	✓
SD	Eye discharge	·	·	✓
SD	Eye pain	·	·	✓
SD	Facial pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oral herpes	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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