3W4-16724-41875

3 vaccinations 10 coded responses 22 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 024 / MA
Registered: 2021-03-28

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-28
Registered in v-safe
2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: I think the shot may have temporarily worsened my dysatonomia/POTS?

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

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: The shot seems to have worsened my ovulation pain; I'm on 36 hours of pain from it now, so it should also be listed in my check in yesterday, but I can't edit it. Timing is correct, but symptoms are far worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Chills, Muscle or body aches, Abdominal pain

Free text: Still having that odd lower quadrant discomfort that i believe started with a rough ovulation this month.

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: Flatulence, Gastrointestinal disorder, Menstrual disorder — Feeling: Fair · Abdominal pain

Free text: Upswing of menstrual-related symptoms and GI issues/gas?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Condition aggravated — Feeling: Good

Free text: I think the vaccine may mildly exacerbate POTS symptoms?

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

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good · Site: Pain · Fever

Free text: Menses still a lot thicker than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Mild mood swings?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Dysautonomia slightly worse than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness, Pre-existing disease — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Brain fog, spacyness/mild dizziness, proprioception issues (may be part pf dysautonomia flare)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Spaciness, dysautonomia flare?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Pfizer-BioNTech
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-11-27	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I think the shot may have temporarily worsened my dysatonomia/POTS?

2021-04-08

Systemic reaction (other): The shot seems to have worsened my ovulation pain; I'm on 36 hours of pain from it now, so it should also be listed in my check in yesterday, but I can't edit it. Timing is correct, but symptoms are far worse.

2021-04-10

Systemic reaction (other): Still having that odd lower quadrant discomfort that i believe started with a rough ovulation this month.

2021-04-11

Systemic reaction (other): Upswing of menstrual-related symptoms and GI issues/gas?

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): I think the vaccine may mildly exacerbate POTS symptoms?

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Menses still a lot thicker than usual.

2021-04-30

Systemic reaction (other): Mild mood swings?

2021-05-01

Systemic reaction (other): Dysautonomia slightly worse than usual

2021-05-02

Systemic reaction (other): Brain fog, spacyness/mild dizziness, proprioception issues (may be part pf dysautonomia flare)

2021-05-04

Systemic reaction (other): Spaciness, dysautonomia flare?

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
SRO	Abdominal discomfort	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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