3B5-12191-87649

3 vaccinations 12 coded responses 25 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 724 / AR
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-08
Survey response — day 0, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Have had fatigue for years. No worse than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Some soreness injection site. Nothing else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Started wearing a c-pap 3 weeks. Maybe allergy to latex on head gear. The straps appear to be latex.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Still rash in hairline. Checked with medical supply, they say the straps are latex free???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection site

Free text: Runny nose, sneezing started last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash in hairline itches constantly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rhinorrhoea — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Runny nose and rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Asthenia, Decreased appetite, Diarrhoea, Hypotension — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, weakness, no appetite, low BP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Bleeding varicose vein — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Bleeding varicose veins in my feet.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-11-09
Dose 3 — Pfizer-BioNTech
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Concussion, Face injury, Fall — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Fell and landed on my face. Just concussion , no broken bones.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
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 · Emergency room or emergency department visit · 1 call case(s)
2022-05-11
Call successful
Not applicable - Accidental Reporting
2022-05-11
Call successful
Not applicable - Accidental Reporting
2022-11-13
Survey response — 12 months, dose 3
MedDRA: Fall — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Multiple falls.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Report sent to call center — 12 months, 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 · Emergency room or emergency department visit · 1 call case(s)
2022-11-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-09	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-08

Systemic reaction (other): Have had fatigue for years. No worse than usual

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Some soreness injection site. Nothing else.

2021-01-10

Systemic reaction (other): Started wearing a c-pap 3 weeks. Maybe allergy to latex on head gear. The straps appear to be latex.

2021-01-11

Systemic reaction (other): Still rash in hairline. Checked with medical supply, they say the straps are latex free???

2021-01-12

Systemic reaction (other): Runny nose, sneezing started last night

2021-01-13

Systemic reaction (other): Rash in hairline itches constantly.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Runny nose and rash

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Diarrhea, weakness, no appetite, low BP.

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Joint pain worse

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Bleeding varicose veins in my feet.

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Fell and landed on my face. Just concussion , no broken bones.

Release 12 — 12 months, dose 3

2022-11-13

Symptoms: Multiple falls.

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
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bleeding varicose vein	✓	·	✓
SD	Concussion	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Face injury	·	·	✓
SD	Fall	·	·	✓
SD	Hypotension	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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