38R-92670-26187

5 vaccinations 21 coded responses 48 check-ins 20 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 722 / AR
Registered: 2021-04-10

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

Registered dependents

L2J-28373-19466 Adult relative or friend · Male · 2021-10-28

ERJ-24915-31849 Adult relative or friend · Male · 2021-10-28

Timeline

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough and drainage into chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 21, dose 2
MedDRA: Chills, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Vomiting x10, body ache x10, chills x10 low grade fever x 5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Decreased appetite, Increased upper airway secretion, Migraine, Myalgia, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Deep rattling cough with large amounts of mucus, loss for appetite,can barely eat more than 2-3 bites of any meal, muscle aches and migraines have been more frequent and am everyday thing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 42, dose 2
MedDRA: Arthralgia, Lethargy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More achiness in joints than what is my norm, continued & increased lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Survey response — 6 months, dose 2
MedDRA: 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 · Outpatient clinic or urgent care clinic visit

Free text: Nothing to do with Covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-26
Call 1 — Left Voicemail
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Hyperchlorhydria — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Loss of appetite & acidic stomach

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Survey response — day 21, dose 3
MedDRA: Decreased appetite, Dysgeusia, Influenza like illness, Oropharyngeal pain, Painful respiration, Paranasal sinus hypersecretion, Taste disorder, Telemedicine — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Flu like symptoms, loss of hunger, food tastes weird or is too spicy which other seems bland. Sinus drainage, sore throat, trying to go into chest, hurts to breathe deeply · Healthcare visit (other): Have stayed in place, cancelled in person appointments & changed what I could to telemed

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-23
Survey response — day 28, dose 3
MedDRA: Aphonia, Influenza, Laryngitis, Medical counselling, Nausea, Pain, Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low grade fever, nausea/vomiting, body aches, loss of voice (laryngitis) , sinus drainage. Was tested for Covid w/negative results. Have the flu per Dr

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 35, dose 3
MedDRA: Influenza — Feeling: Poor · 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: Flu even though I had my flu shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — day 35, dose 3
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)
2021-12-07
Survey response — day 42, dose 3
MedDRA: Ear infection, Influenza, Office visit, Pyrexia, Upper respiratory tract infection — Feeling: Poor · 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: Still running low grade fever after the flu, went back to the Dr. Flu is gone but still have an URI and ear infection.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 42, dose 3
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)
2021-12-14
Call 1 — Could Not Reach Participant
2021-12-17
Call 2 — Could Not Reach Participant
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Malaise — Feeling: Poor · 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

Free text: Covid like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 3 months, dose 3
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)
2022-01-26
Call 1 — Left Voicemail
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Fungal infection, Glossitis, Glossodynia, Tongue erythema — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Raw, red painful tongue like I'm having some kind of fungal infection

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-30
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-21
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-28
Health check-in — day 7, dose 5
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Survey response — day 14, dose 5
MedDRA: Ear pain, Respiratory tract congestion — Feeling: Poor

Free text: Congestion that is getting worse and ear ache

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-19
Survey response — day 28, dose 5
MedDRA: Feeling hot, Lethargy, Migraine, Respiratory tract congestion — Feeling: Fair

Free text: Lethargic, congested, more frequent & longer lasting migraines, always feel like I'm running a fever when I'm not

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-02
Survey response — day 42, dose 5
MedDRA: Cough, Ear pain, Headache, Nausea, Respiratory tract congestion, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Congestion in chest and sinuses, cough No fever that I'm aware of. Constant headache and earache, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — 3 months, dose 5
MedDRA: Dizziness, Nausea, Taste disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, fluctuating taste, nausea

MedDRA releases: 2024-11 · check-in free text available
2023-03-22
Survey response — 6 months, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	Flu
4	2022-04-22	Pfizer-BioNTech	No
5	2022-09-21	Pfizer-BioNTech	Flu

Call center

5 call center cases

1 successful · 4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Cough and drainage into chest

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Loss of appetite

2021-04-27

Systemic reaction (other): Loss of appetite, dizziness

2021-04-28

Systemic reaction (other): Dizziness

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Vomiting x10, body ache x10, chills x10 low grade fever x 5

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Deep rattling cough with large amounts of mucus, loss for appetite,can barely eat more than 2-3 bites of any meal, muscle aches and migraines have been more frequent and am everyday thing

Release 8 — day 42, dose 2

2021-06-03

Symptoms: More achiness in joints than what is my norm, continued & increased lethargy

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Nothing to do with Covid

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Loss of appetite & acidic stomach

2021-11-01

Systemic reaction (other): Constipation

Release 10 — day 21, dose 3

2021-11-16

Symptoms: Flu like symptoms, loss of hunger, food tastes weird or is too spicy which other seems bland. Sinus drainage, sore throat, trying to go into chest, hurts to breathe deeply

Healthcare visit (other): Have stayed in place, cancelled in person appointments & changed what I could to telemed

Release 10 — day 28, dose 3

2021-11-23

Symptoms: Low grade fever, nausea/vomiting, body aches, loss of voice (laryngitis) , sinus drainage. Was tested for Covid w/negative results. Have the flu per Dr

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Flu even though I had my flu shot

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Still running low grade fever after the flu, went back to the Dr. Flu is gone but still have an URI and ear infection.

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Covid like symptoms

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Raw, red painful tongue like I'm having some kind of fungal infection

Release 12 — day 14, dose 5

2022-10-05

Symptoms: Congestion that is getting worse and ear ache

Release 12 — day 28, dose 5

2022-10-19

Symptoms: Lethargic, congested, more frequent & longer lasting migraines, always feel like I'm running a fever when I'm not

Release 12 — day 42, dose 5

2022-11-02

Symptoms: Congestion in chest and sinuses, cough No fever that I'm aware of. Constant headache and earache, nausea

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Dizziness, fluctuating taste, nausea

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	Telemedicine	·	·	✓
SD	Aphonia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Ear infection	·	·	✓
SD	Ear pain	·	·	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Laryngitis	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Painful respiration	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Taste disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fungal infection	·	·	✓
SRO	Glossitis	·	·	✓
SRO	Glossodynia	·	·	✓
SRO	Hyperchlorhydria	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tongue erythema	·	·	✓

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