3N3-72206-59986

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Good

Free text: Asthma symptoms, everyone affected in the area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: Arthritis flare in all joints. Awaiting doctor visit for this exacerbation of symptoms .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 2
MedDRA: Dizziness, Syncope — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and syncope.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness, abdominal discomfort, quizziness, joint aches. Syncope.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Bundle branch block left, Ear discomfort, Excessive cerumen production, Malaise, Nausea, Office visit, Syncope — 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: Symptoms: Syncope, nausea, generalized malaise . Seen by PCP, consult with cardiologist for cardiac work up to see if related to syncope & know LBBB. GI work up not nee issues. Cleaned ears for wax build up, now clogged on R side. · Healthcare visit (other): Office visits with PCP & cardiology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 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

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dyspnoea, Office visit, Viral infection — Feeling: Good · Be unable to work or attend school, 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: Got Covid on January 3, 2022, had post viral infection requiring extra steroids. Returned to work after January 25, 2022. Still have periods of shortness of breath and being followed by Pulmonologist.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-04-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Asthma symptoms, everyone affected in the area

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Asthma

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Arthritis flare in all joints. Awaiting doctor visit for this exacerbation of symptoms .

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Dizziness and syncope.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Dizziness, abdominal discomfort, quizziness, joint aches. Syncope.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Syncope, nausea, generalized malaise . Seen by PCP, consult with cardiologist for cardiac work up to see if related to syncope & know LBBB. GI work up not nee issues. Cleaned ears for wax build up, now clogged on R side.

Healthcare visit (other): Office visits with PCP & cardiology

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Got Covid on January 3, 2022, had post viral infection requiring extra steroids. Returned to work after January 25, 2022. Still have periods of shortness of breath and being followed by Pulmonologist.

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Bundle branch block left	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Excessive cerumen production	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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