35N-14625-98468

5 vaccinations 9 coded responses 37 check-ins 9 free-text entries 3 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 327 / FL
Registered: 2020-12-20

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

2020-12-20
Registered in v-safe
2020-12-20
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Dyspnoea, Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Only headache and and backache left. I get a little winded if I try to sing Christmas Carols.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache

Free text: Throbbing headache, especially with significant position changes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph node swelling under arms; I have been taking Tylenol, vitamins, and Coricidin around the clock to manage symptoms. So far, it is working well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I continue to take Tylenol and Coricidin to keep symptoms at bay.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good

Free text: Occasional headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 6 months, dose 2
MedDRA: Office visit, Plantar fasciitis, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Plantar fasciitis and achilles tendonitis · Healthcare visit (other): Physical therapy and orthopedic visits, was on light duty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call 1 — Left Voicemail
2021-07-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-08
Dose 3 — Pfizer-BioNTech
2022-01-11
Survey response — 12 months, dose 2
MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair

Free text: Tired, mild congestion that lasted a few days and resolved. Unable to find a Covid testing date in my area at that time. Stayed home. Fine now.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Dose 4 — Pfizer-BioNTech
2022-06-22
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Headache, 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
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Went away as the day progressed

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — day 21, dose 4
MedDRA: Loss of personal independence in daily activities, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a history of migraine and I am suffering those effects today. I was unable to participate in my daily activities about 3 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-13
Dose 5 — Other-Unknown
2023-04-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-20	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-06-22	Pfizer-BioNTech	No
5	2022-10-13	Other-Unknown	No

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Only headache and and backache left. I get a little winded if I try to sing Christmas Carols.

2020-12-24

Systemic reaction (other): Throbbing headache, especially with significant position changes

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Lymph node swelling under arms; I have been taking Tylenol, vitamins, and Coricidin around the clock to manage symptoms. So far, it is working well.

2021-01-13

Systemic reaction (other): I continue to take Tylenol and Coricidin to keep symptoms at bay.

Release 3 — day 21, dose 2

2021-02-01

Symptoms: Occasional headaches

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: Plantar fasciitis and achilles tendonitis

Healthcare visit (other): Physical therapy and orthopedic visits, was on light duty

Release 10 — 12 months, dose 2

2022-01-11

Symptoms: Tired, mild congestion that lasted a few days and resolved. Unable to find a Covid testing date in my area at that time. Stayed home. Fine now.

Release 12 — days 1–6 daily, dose 4

2022-06-25

Systemic reaction (other): Went away as the day progressed

Release 12 — day 21, dose 4

2022-07-13

Symptoms: I have a history of migraine and I am suffering those effects today. I was unable to participate in my daily activities about 3 hours.

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	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Plantar fasciitis	✓	✓	✓
SD	Pre-existing disease	○	○	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tendonitis	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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