3S8-89280-02614

4 vaccinations 8 coded responses 41 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have IBS and symptoms are severe today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 1
MedDRA: Fatigue, Pelvic pain, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pelvic floor pain; tiredness from pain and broken sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-15
Survey response — day 0, dose 2
MedDRA: Anxiety, Depression, Irritable bowel syndrome — Feeling: Fair

Free text: Anxiety and depression that started in Aug. 2020. Also IBS diagnosed about a month ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Depression, Irritable bowel syndrome — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: I have anxiety and depression and IBS and all contribute to how I feel. All of these conditions existed before I got the vaccine but were exacerbated by the pandemic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
2022-03-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-02
Dose 4 — Pfizer-BioNTech
2022-05-02
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-30
Survey response — day 28, dose 4
MedDRA: Anxiety — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase in anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-01
Survey response — 3 months, dose 4
MedDRA: Fatigue, Nasal congestion, Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nasal congestion, runny nose, sore throat, very tired · Healthcare visit (other): Saw nurse practitioner and had PCR test

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-02
Call 1 — Left Voicemail
2022-08-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-31
Survey response — 6 months, dose 4
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Cough, sore throat, head and body aches, runny nose, congestion · Healthcare visit (other): Antibodies administered to me by two trained people at my home

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-01
Call 1 — Left Voicemail
2023-05-02
Survey response — 12 months, dose 4
MedDRA: Coeliac disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-02
Report sent to call center — 12 months, 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)
2023-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-03
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	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-05-02	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): I have IBS and symptoms are severe today

Release 4 — day 7, dose 1

2021-03-01

Systemic reaction (other): Pelvic floor pain; tiredness from pain and broken sleep

Release 5 — day 0, dose 2

2021-03-15

Systemic reaction (other): Anxiety and depression that started in Aug. 2020. Also IBS diagnosed about a month ago

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): I have anxiety and depression and IBS and all contribute to how I feel. All of these conditions existed before I got the vaccine but were exacerbated by the pandemic

Release 11 — day 28, dose 4

2022-05-30

Symptoms: Increase in anxiety

Release 12 — 3 months, dose 4

2022-08-01

Symptoms: Nasal congestion, runny nose, sore throat, very tired

Healthcare visit (other): Saw nurse practitioner and had PCR test

Release 12 — 6 months, dose 4

2022-10-31

Symptoms: Cough, sore throat, head and body aches, runny nose, congestion

Healthcare visit (other): Antibodies administered to me by two trained people at my home

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Anxiety	·	·	✓
SD	Coeliac disease	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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