33A-43729-59310

4 vaccinations 8 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 045 / ME
Registered: 2021-04-14

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

Registered dependents

58H-28345-39147 Child or adolescent in my care · Male · 2022-09-23

PY4-22322-49598 Child or adolescent in my care · Female · 2022-09-23

Timeline

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Hands itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Fever

Free text: Hands itch

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

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Migraine, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My typical post-menses migraine was a bit worse. Lasted at least a full day longer than usual and was fairly bad in the pain and nausea area. It has passed apparently, I think.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 35, dose 2
MedDRA: Cardiac discomfort, Limb discomfort, Rash — Feeling: Fair

Free text: Rash on hand Backdated item -- Sun 4/25/2021 I had weird cardiac/stroke-style symptom. Early in morning had a VERY strong weakening / pressure around left shoulder/arm, spreading to my neck, and then my right shoulder ~ 6min. ER visit found nothing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Hyperacusis — Feeling: Fair

Free text: Very sensitive hearing last 6 weeks -- certain sounds have become very, very loud (dishes, crumpling plastic bags, sometimes groups talking). The closest thing I could find, and it seems really close, is hyperacusis.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Dose 3 — Moderna
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-23
Survey response — day 7, dose 4
MedDRA: Herpes zoster, Pain, Pruritus — Feeling: Fair · Muscle or body aches

Free text: An unresolved but improving shingles condition has been more itchy and achy since the Covid booster

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 42, dose 4
MedDRA: Depressed mood, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tinnitus, sadness · Healthcare visit (other): Bringing it to attention at annual visit 11/2/22; also have reg therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-02
Call 2 — Left Voicemail
2023-03-17
Survey response — 6 months, dose 4
MedDRA: Hyperacusis, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-21
Call 1 — Left Voicemail
2023-03-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-11-10	Moderna	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Hands itching

2021-05-04

Systemic reaction (other): Hands itch

Release 8 — day 14, dose 2

2021-05-14

Symptoms: My typical post-menses migraine was a bit worse. Lasted at least a full day longer than usual and was fairly bad in the pain and nausea area. It has passed apparently, I think.

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Rash on hand Backdated item -- Sun 4/25/2021 I had weird cardiac/stroke-style symptom. Early in morning had a VERY strong weakening / pressure around left shoulder/arm, spreading to my neck, and then my right shoulder ~ 6min. ER visit found nothing. cut off by CDC

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Very sensitive hearing last 6 weeks -- certain sounds have become very, very loud (dishes, crumpling plastic bags, sometimes groups talking). The closest thing I could find, and it seems really close, is hyperacusis.

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): An unresolved but improving shingles condition has been more itchy and achy since the Covid booster

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Tinnitus, sadness

Healthcare visit (other): Bringing it to attention at annual visit 11/2/22; also have reg therapy

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	Unevaluable event	·	·	✓
SD	Cardiac discomfort	✓	✓	✓
SD	Depressed mood	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Herpes zoster	·	·	✓
SRO	Pain	·	·	✓
SRO	Pruritus	✓	✓	✓

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