3UE-22416-01620

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain, Pain in jaw, Tension, Throat tightness — Feeling: Fair · Headache

Free text: Jaw & back of throat pain & tight, tention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain

Free text: My conditions may just be my own typical aches & pains..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Above symptoms are typical prior to shot, also. Same.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Daily/Constant headache... before vac also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: ...but the above symptoms are CHRONIC, everyday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Free text: Diarrhea was sudden & severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Above are CHRONIC symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Itching · Headache

Free text: Above headache may be chronic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Joint pains

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Hot flush, Pre-existing disease, Pyrexia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have like mild hot flashes the past ten days & probably low grade fever. Especially in the evening. (I am 20 years past menapause.) I'll go have a covid test. l am Pfizer double vaccinated. · Healthcare visit (other): I am goingt to outpatient clinic tomorrow. Just didn't feel like it yet.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-09
Call 1 — Left Voicemail
2021-11-15
Dose 3 — Pfizer-BioNTech
2022-05-07
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-16
Survey response — 12 months, dose 3
MedDRA: Alopecia, Somnolence — 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: A lot of HAIR is falling out. · Healthcare visit (other): I sleep constantly.

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-17
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	2021-04-10	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-10

Systemic reaction (other): Jaw & back of throat pain & tight, tention.

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): My conditions may just be my own typical aches & pains..

2021-04-13

Systemic reaction (other): Above symptoms are typical prior to shot, also. Same.

2021-04-14

Systemic reaction (other): Daily/Constant headache... before vac also.

2021-04-15

Systemic reaction (other): ...but the above symptoms are CHRONIC, everyday.

2021-04-16

Systemic reaction (other): Diarrhea was sudden & severe.

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Above are CHRONIC symptoms.

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Above headache may be chronic.

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Extreme fatigue

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: I have like mild hot flashes the past ten days & probably low grade fever. Especially in the evening. (I am 20 years past menapause.) I'll go have a covid test. l am Pfizer double vaccinated.

Healthcare visit (other): I am goingt to outpatient clinic tomorrow. Just didn't feel like it yet.

Release 12 — 12 months, dose 3

2022-11-16

Symptoms: A lot of HAIR is falling out.

Healthcare visit (other): I sleep constantly.

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	Somnolence	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Alopecia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tension	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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