3JT-12771-01219

4 vaccinations 16 coded responses 38 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 180 / PA
Registered: 2021-03-25

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

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Mild, occasional dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness

Free text: I am a COVID19 Long-hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness

Free text: Im a COVID19 long-hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: Fatigue, SARS-CoV-2 test — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Im a COVID19 long-hauler, often have fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme dizziness & ringing in the ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Intermittent dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Long-hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Post-acute COVID-19 syndrome — Feeling: Good · Headache, Fatigue or tiredness

Free text: COVID19 Long-hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Post-acute COVID-19 syndrome — Feeling: Good · Headache, Fatigue or tiredness

Free text: COVID19 Long Hauler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Post-acute COVID-19 syndrome — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: COVID19 Long Hauler

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

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Back pain, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased fatigue, headaches & backache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Pain, Productive cough, Respiratory tract congestion, Sputum discoloured — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stuffy head, headache, cough producing thick yellow mucus, minor aches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Pfizer-BioNTech
2022-04-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-21
Dose 4 — Pfizer-BioNTech
2022-05-21
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
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
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-28
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-19
Survey response — day 28, dose 4
MedDRA: Back pain, Fatigue, Neck pain, Rehabilitation therapy — 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

Free text: Symptoms: Increased neck & back pain; increased fatigue · Healthcare visit (other): Outpatient rehab

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Report sent to call center — day 28, dose 4
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)
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-19
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Common Cold Since yesterday (11/18/2022)

MedDRA releases: 2024-11 · check-in free text available
2023-05-22
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-11-01	Pfizer-BioNTech	No
4	2022-05-21	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Mild, occasional dizziness

2021-03-29

Systemic reaction (other): I am a COVID19 Long-hauler

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Im a COVID19 long-hauler

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Im a COVID19 long-hauler, often have fatigue

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Extreme dizziness & ringing in the ears

2021-04-15

Systemic reaction (other): Dizziness

2021-04-16

Systemic reaction (other): Intermittent dizziness

2021-04-17

Systemic reaction (other): Long-hauler

2021-04-18

Systemic reaction (other): COVID19 Long-hauler

2021-04-19

Systemic reaction (other): COVID19 Long Hauler

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): COVID19 Long Hauler

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Increased fatigue, headaches & backache

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Stuffy head, headache, cough producing thick yellow mucus, minor aches, fatigue

Release 11 — day 0, dose 4

2022-05-21

Systemic reaction (other): No

Release 12 — day 28, dose 4

2022-06-19

Symptoms: Increased neck & back pain; increased fatigue

Healthcare visit (other): Outpatient rehab

Release 12 — 6 months, dose 4

2022-11-19

Symptoms: Common Cold Since yesterday (11/18/2022)

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	Rehabilitation therapy	·	·	✓
SD	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Post-acute COVID-19 syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	SARS-CoV-2 test	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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