34H-29303-67395

5 vaccinations 8 coded responses 45 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 294 / SC
Registered: 2021-04-21

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Dose 2 — Pfizer-BioNTech
2021-05-05
Survey response — day 0, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair

Free text: have my normal aches & pains, and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-07
Dose 3 — Pfizer-BioNTech
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Survey response — day 35, dose 3
MedDRA: Arthralgia, Cough, Oropharyngeal pain — Feeling: Fair

Free text: sore throat, mild coughing joints ache more then normal

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 42, dose 3
MedDRA: Arthralgia, Nasal congestion, Rhinorrhoea — Feeling: Poor

Free text: joint pain, funny and stuff nose.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-05-09
Health check-in — day 0, dose 4
Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-17
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Survey response — day 35, dose 4
MedDRA: Abdominal pain upper, Arthralgia, Fatigue, Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: moderate stomach pains & digestive problems. severe joint pains. fatigue worsened.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 42, dose 4
MedDRA: Abdominal pain, Arthralgia, Diarrhoea, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities

Free text: abdominals pain, diarrhea, blurry vision, increase jiont pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Survey response — 3 months, dose 4
MedDRA: Dyspnoea, Flank pain, Mobility decreased — 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, Emergency room or emergency department visit

Free text: unexplained pain in right side. cause some difficulties to breathe and move.

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-08-09
Call 1 — Requested Callback
2022-08-09
Callback requested for
04:00PM ET
2022-08-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-01
Survey response — day 21, dose 5
MedDRA: Hepatic steatosis, Lung neoplasm malignant, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Diagnosis with Hepatic Steatosis & lung cancer · Healthcare visit (other): doctor office visits

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-14
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-22
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-09
Survey response — 3 months, dose 5
MedDRA: Lung disorder, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-01-09
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-01-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-10
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No
4	2022-05-09	Pfizer-BioNTech	No
5	2022-10-10	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): have my normal aches & pains, and tiredness

Release 10 — day 35, dose 3

2022-01-11

Symptoms: sore throat, mild coughing joints ache more then normal

Release 10 — day 42, dose 3

2022-01-18

Symptoms: joint pain, funny and stuff nose.

Release 12 — day 35, dose 4

2022-06-13

Symptoms: moderate stomach pains & digestive problems. severe joint pains. fatigue worsened.

Release 12 — day 42, dose 4

2022-06-21

Symptoms: abdominals pain, diarrhea, blurry vision, increase jiont pain

Release 12 — 3 months, dose 4

2022-08-08

Symptoms: unexplained pain in right side. cause some difficulties to breathe and move.

Release 12 — day 21, dose 5

2022-11-01

Symptoms: Diagnosis with Hepatic Steatosis & lung cancer

Healthcare visit (other): doctor office visits

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	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Flank pain	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hepatic steatosis	·	·	✓
SD	Lung disorder	·	·	✓
SD	Lung neoplasm malignant	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓

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