3U3-12344-01844

5 vaccinations 8 coded responses 17 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 211 / MD
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain

Free text: some mild cold symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling cold, Hot flush, Nasopharyngitis — Feeling: Good

Free text: Some what cold symptoms and had some moments of cold and hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster, Lacrimation increased, Nasopharyngitis — Feeling: Good

Free text: watery eye, slight cold symptoms. Also my understanding some people that have had Shingles before having problems I've had zero and I had my shingles vaccine second dose in December.If that information is helpful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Nasopharyngitis, Rhinorrhoea, Throat irritation — Feeling: Fair · Fever

Free text: Felt very hot at times, nose running and feeling of getting a cold. scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Feeling hot, Headache, Respiratory tract congestion, Self-medication — Feeling: Good

Free text: Head ache at night and still at least once a day get extremely hot almost like from inside. Weirdest thing ever. Also seem excessively congested. Talking mutantsMucanex and sudafed not really helping either.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-06-12
Survey response — 3 months, dose 1
MedDRA: Hot flush, Rhinorrhoea — Feeling: Good

Free text: Still having flashes where I feel like I'm on fire from the inside out. My.nose just been running since my vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-13
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2022-03-15
Survey response — 12 months, dose 1
MedDRA: Ageusia, Feeling hot, Memory impairment, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Notices short term memory issues, going to see neurologist for cognitive testing may 25th. Sense of taste coming and going has dramatically lessened. Still occasionally get a feeling of being on fire from the inside out that still happens. · Healthcare visit (other): appt May 25th

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-10
Dose 4 — Moderna
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 28, dose 5
MedDRA: Herpes zoster — Feeling: Good

Free text: Still Mild shingles outbreak

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-18
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech	No
3	2021-10-31	Moderna	No
4	2022-05-10	Moderna	No
5	2022-09-15	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): some mild cold symptoms.

2021-03-17

Systemic reaction (other): Some what cold symptoms and had some moments of cold and hot flashes

2021-03-18

Systemic reaction (other): watery eye, slight cold symptoms. Also my understanding some people that have had Shingles before having problems I've had zero and I had my shingles vaccine second dose in December.If that information is helpful.

2021-03-19

Systemic reaction (other): Felt very hot at times, nose running and feeling of getting a cold. scratchy throat

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Head ache at night and still at least once a day get extremely hot almost like from inside. Weirdest thing ever. Also seem excessively congested. Talking mutantsMucanex and sudafed not really helping either.

Release 9 — 3 months, dose 1

2021-06-12

Symptoms: Still having flashes where I feel like I'm on fire from the inside out. My.nose just been running since my vaccines.

Release 11 — 12 months, dose 1

2022-03-15

Symptoms: Notices short term memory issues, going to see neurologist for cognitive testing may 25th. Sense of taste coming and going has dramatically lessened. Still occasionally get a feeling of being on fire from the inside out that still happens.

Healthcare visit (other): appt May 25th

Release 12 — day 28, dose 5

2022-10-13

Symptoms: Still Mild shingles outbreak

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	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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