3HU-29303-52221

5 vaccinations 11 coded responses 39 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 537 / WI
Registered: 2021-01-14

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

2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-14
Registered in v-safe
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sleep interference from muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Fungal infection, Herpes simplex, Herpes simplex reactivation, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Herpes simplex break out. Possible transfer to eyes. Unusual prodrome felt like yeast infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to work

Free text: Dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 14, dose 2
MedDRA: Herpes simplex — Feeling: Fair

Free text: Herpes simplex break out two weeks after the injection, just like the first time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Call 1 — Left Voicemail
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Oral surgery, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Oral surgery on tongue prevented normal food intake from 7/19 to 7/28. Just getting back my normal gut function and feeling alright. Plus my ragweed allergies have started.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Alcoholism, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Alcohol abuse relapse · Healthcare visit (other): Standard office visit with my primary care physician

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-07
Call 1 — Could Not Reach Participant
2022-02-10
Call 2 — Could Not Reach Participant
2022-05-13
Dose 4 — Moderna
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Tendon pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tendon pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Getting the both boosters made my Herpes flare up.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Survey response — 3 months, dose 4
MedDRA: Dyspnoea exertional — Feeling: Good

Free text: Shortness of breath when hiking up hills

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Dose 5 — Moderna
2022-10-23
Survey response — day 0, dose 5
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Herpes simplex 2 always breaks out after I get a COVID shot.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-30
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-04
Survey response — day 42, dose 5
MedDRA: Genital herpes — Feeling: Good

Free text: Vaginal herpes breakout in new area.

MedDRA releases: 2024-11 · check-in free text available
2023-01-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-05-13	Moderna	No
5	2022-10-23	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Sleep interference from muscle pain

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Herpes simplex break out. Possible transfer to eyes. Unusual prodrome felt like yeast infection.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Dizziness, brain fog

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Herpes simplex break out two weeks after the injection, just like the first time.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Oral surgery on tongue prevented normal food intake from 7/19 to 7/28. Just getting back my normal gut function and feeling alright. Plus my ragweed allergies have started.

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Alcohol abuse relapse

Healthcare visit (other): Standard office visit with my primary care physician

Release 11 — days 1–6 daily, dose 4

2022-05-17

Systemic reaction (other): Tendon pain

2022-05-19

Systemic reaction (other): Getting the both boosters made my Herpes flare up.

Release 12 — 3 months, dose 4

2022-08-13

Symptoms: Shortness of breath when hiking up hills

Release 12 — day 0, dose 5

2022-10-23

Systemic reaction (other): Herpes simplex 2 always breaks out after I get a COVID shot.

Release 12 — day 42, dose 5

2022-12-04

Symptoms: Vaginal herpes breakout in new area.

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	Alcoholism	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fungal infection	✓	·	✓
SD	Genital herpes	·	·	✓
SD	Herpes simplex	✓	✓	✓
SD	Herpes simplex reactivation	○	✓	○
SD	Oral surgery	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Herpes simplex	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Tendon pain	·	·	✓

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