3VU-31280-68342

5 vaccinations 6 coded responses 30 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Fibromyalgia, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Body aches and fatigue are normal for me with fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: All above pain is normal for me daily and not attributed to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Blood pressure increased, Emergency care — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: A-fib and skyrocketing blood pressure sent me to the ER lights and sirens on 7-19-21. Bp was 220/100 something. All scans and X-rays were clear, recommended to see my cardiologist where I got an all clear

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-09-07
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 21, dose 3
MedDRA: Cerebrovascular accident — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Stroke

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-04
Call 1 — Left Voicemail
2021-10-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-12
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — 6 months, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good

Free text: Possibly had Covid but not sure since tests were sold out and I couldn't get an appointment for a test for 5 days and I tested negative. Had headache, sore throat and some mild coughing.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Survey response — 3 months, dose 4
MedDRA: Interstitial lung 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

Free text: Diagnosed with interstitial lung disease

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-18
Call successful
Not applicable - Accidental Reporting
2022-07-18
Call successful
Not applicable - Accidental Reporting
2022-07-18
Call successful
Not applicable - Accidental Reporting
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Dose 5 — Pfizer-BioNTech
2023-04-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-09-07	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Body aches and fatigue are normal for me with fibromyalgia

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): All above pain is normal for me daily and not attributed to the vaccine

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: A-fib and skyrocketing blood pressure sent me to the ER lights and sirens on 7-19-21. Bp was 220/100 something. All scans and X-rays were clear, recommended to see my cardiologist where I got an all clear

Release 9 — day 21, dose 3

2021-09-30

Symptoms: Stroke

Release 11 — 6 months, dose 3

2022-03-08

Symptoms: Possibly had Covid but not sure since tests were sold out and I couldn't get an appointment for a test for 5 days and I tested negative. Had headache, sore throat and some mild coughing.

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: Diagnosed with interstitial lung disease

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
SD	Atrial fibrillation	✓	·	✓
SD	Blood pressure increased	✓	·	✓
SD	Cerebrovascular accident	·	·	✓
SD	Cough	·	·	✓
SD	Emergency care	✓	·	✓
SD	Headache	·	·	✓
SD	Interstitial lung disease	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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