39E-13159-33381

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 530 / WI
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-20
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: I felt a slight "fuzziness" after I received the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Occasional "off" feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: I had the headache last night about 9 p.m. I had already filled in yesterday's questions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Sleep disorder — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: I woke up about 3:30 a.m with a racing heart. It concerned me, but I tried deep breathing and eventually was able to get back to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Swollen gland in neck, strange taste in mouth when I awoke

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I have swollen glands in my neck - I forgot to list this yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Sore glands in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: The "rash" is a patch on my forehead. The swollen glands in my neck are not as prominent today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Extrasystoles, Medical counselling, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have noticed some palpitations and skipped heartbeats. I will be discussing this with my Dr. at my upcoming appt. in July. · Healthcare visit (other): I spoke on the phone with the nurse in my doctor's office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Could Not Reach Participant
2021-06-28
Call successful
Other
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-28
Dose 3 — Pfizer-BioNTech
2022-03-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've had noticeable symptoms of previously disgnosed Sjogren's syndrome.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-29
Call 2 — Could Not Reach Participant
2022-07-05
Call 3 — Could Not Reach Participant
2022-12-28
Survey response — 12 months, dose 3
MedDRA: Office visit, Temporomandibular pain and dysfunction syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm having tmj issues. · Healthcare visit (other): Dentist and in January a tmj specialist

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-29
Call X — Could Not Reach Participant
2022-12-29
Call 2 — Could Not Reach Participant
2023-01-04
Call 1 — Could Not Reach Participant
2023-01-04
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-12-28	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-20

Systemic reaction (other): I felt a slight "fuzziness" after I received the vaccine.

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Occasional "off" feeling

2021-02-22

Systemic reaction (other): I had the headache last night about 9 p.m. I had already filled in yesterday's questions.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): I woke up about 3:30 a.m with a racing heart. It concerned me, but I tried deep breathing and eventually was able to get back to sleep.

2021-03-16

Systemic reaction (other): Swollen gland in neck, strange taste in mouth when I awoke

2021-03-18

Systemic reaction (other): I have swollen glands in my neck - I forgot to list this yesterday.

2021-03-19

Systemic reaction (other): Sore glands in neck

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): The "rash" is a patch on my forehead. The swollen glands in my neck are not as prominent today.

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: I have noticed some palpitations and skipped heartbeats. I will be discussing this with my Dr. at my upcoming appt. in July.

Healthcare visit (other): I spoke on the phone with the nurse in my doctor's office.

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: I've had noticeable symptoms of previously disgnosed Sjogren's syndrome.

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: I'm having tmj issues.

Healthcare visit (other): Dentist and in January a tmj specialist

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Extrasystoles	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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