3NP-20588-01091

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 852 / AZ
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 1
MedDRA: Dry mouth — Feeling: Good

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Good

Free text: Minor depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
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
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — day 0, dose 2
MedDRA: Dry mouth, Pruritus — Feeling: Good

Free text: Mild Dry mouth, some itching on body, not area where vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Itchiness, dry mouth mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness

Free text: Mild itchiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Sneezing — Feeling: Good · Muscle or body aches

Free text: Mild sneezing and mild glands swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness

Free text: Moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 42, dose 2
MedDRA: Faeces soft, Irritable bowel syndrome, Nausea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nausea, soft stools, IBS symptoms · Healthcare visit (other): Chiropractor for kinesiology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Breast disorder, Cognitive disorder, Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Change in breast, slowed cognitive processing, migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Brain fog, COVID-19, Cough, Emergency care, Fatigue, Pyrexia, SARS-CoV-2 test positive — 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, Emergency room or emergency department visit

Free text: Symptoms: Had Covid confirmed by PRC test. Cough severe, 103 fever, exhaustion, brain fog · Healthcare visit (other): Monoclonal antibodies given at hospital-was 11/1/2021

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
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 · Emergency room or emergency department visit · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail
2022-02-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Dry mouth

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Minor depression

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Mild Dry mouth, some itching on body, not area where vaccinated

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Itchiness, dry mouth mild

2021-02-07

Systemic reaction (other): Mild itchiness

2021-02-09

Systemic reaction (other): Mild sneezing and mild glands swollen

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Moderate

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Nausea, soft stools, IBS symptoms

Healthcare visit (other): Chiropractor for kinesiology

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Change in breast, slowed cognitive processing, migraines

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Had Covid confirmed by PRC test. Cough severe, 103 fever, exhaustion, brain fog

Healthcare visit (other): Monoclonal antibodies given at hospital-was 11/1/2021

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	Emergency care	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Breast disorder	✓	·	✓
SD	Cognitive disorder	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Faeces soft	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Migraine	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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