34P-28989-22540

5 vaccinations 6 coded responses 47 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 920 / CA
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Survey response — day 0, dose 1
MedDRA: Pre-existing disease, Presyncope, Tachycardia — Feeling: Fair · Fatigue or tiredness

Free text: Some tachycardia and presyncope within the first 40 min after receiving vaccine. But I have dysautonomia / POTS, so it may have been that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: This report is actually for yesterday. After I had already filled out my report yesterday, symptoms hit. Late afternoon through the night. Today I am fine (vaccination on Wednesday; side effects late Thursday afternoon - night; fine Friday).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, sore throat, fatigue, sneezing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-14
Survey response — day 7, dose 4
MedDRA: Body temperature increased, Fatigue, Pain — Feeling: Good

Free text: Day after 4th vaccine (5 May 2022) had low-grade fever (99.6), body aches, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Survey response — 3 months, dose 4
MedDRA: Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good

Free text: Exposed to COVID on 30 July 2022. Had mild sore throat, fatigue, congestion, runny nose, sneezing by Monday afternoon, definitely Tuesday morning, but tested negative on BinaxNow Home test. So I don't know if it was mild case of COVID or ?

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · 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
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Nausea, Diarrhea

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-14
Survey response — 3 months, dose 5
MedDRA: Cough, Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, Sneezing, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-14
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	Flu
4	2022-05-04	Pfizer-BioNTech	No
5	2022-10-15	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Some tachycardia and presyncope within the first 40 min after receiving vaccine. But I have dysautonomia / POTS, so it may have been that.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): This report is actually for yesterday. After I had already filled out my report yesterday, symptoms hit. Late afternoon through the night. Today I am fine (vaccination on Wednesday; side effects late Thursday afternoon - night; fine Friday).

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Headache, sore throat, fatigue, sneezing.

Release 11 — day 7, dose 4

2022-05-14

Systemic reaction (other): Day after 4th vaccine (5 May 2022) had low-grade fever (99.6), body aches, fatigue.

Release 12 — 3 months, dose 4

2022-08-03

Symptoms: Exposed to COVID on 30 July 2022. Had mild sore throat, fatigue, congestion, runny nose, sneezing by Monday afternoon, definitely Tuesday morning, but tested negative on BinaxNow Home test. So I don't know if it was mild case of COVID or ?

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	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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