3YB-29976-12678

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 631 / MO
Registered: 2021-03-31

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

2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains

Free text: I have some joint pain but I think that is due to my rheumatoid arthritis i

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea — Feeling: Good · Fever · Joint pains

Free text: Just my breathing from COPD and spring allergies i believe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 1
MedDRA: Gastrointestinal pain, Groin pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I only have symptoms related to my groin pain intestinal tract and colon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 14, dose 1
MedDRA: Emergency care, Medical observation, Rhinovirus infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have had to call a 911 and under observation in hospital diagnosed rino virus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — day 0, dose 2
MedDRA: Gastrointestinal inflammation — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a stomach is Intestinal tract inflamation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling

Free text: N/ a concerning this issue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Hospitalisation, Rhinitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had rhinitis virus and was hospitalized and was on steroids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Survey response — day 28, dose 2
MedDRA: Cough, Hypersensitivity, Infection, Respiratory disorder, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have reoccurring resperatory , sinus ,allergy infections and today I am coughing have a appetite and no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Survey response — day 42, dose 2
MedDRA: Gastritis, Infection, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Reoccurring stomach inflamations allergy sinus and ENT infections constantly since 9/20

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Colitis, Cough, Emergency care, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have some coughing no fever · Healthcare visit (other): I had a office visit it was from a er room visit and was a Inflamation from my colon

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Dizziness, Pain, Unevaluable event, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had dizzy spells where the room was spinning and took OTC allergy chest and congestion medicine and cold and flu symptoms tgel tablets just today . Aching , but gave a good appetite drinking lots of green tea , breakfast drinks , hot chocolate · Healthcare visit (other): Just doing oct meds ,eating

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
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)
2021-10-21
Call 1 — Left Voicemail
2021-10-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): I have some joint pain but I think that is due to my rheumatoid arthritis i

2021-04-04

Systemic reaction (other): Just my breathing from COPD and spring allergies i believe

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): I only have symptoms related to my groin pain intestinal tract and colon

Release 7 — day 14, dose 1

2021-04-12

Symptoms: I have had to call a 911 and under observation in hospital diagnosed rino virus

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): I have a stomach is Intestinal tract inflamation

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): N/ a concerning this issue

Release 8 — day 14, dose 2

2021-05-03

Symptoms: I had rhinitis virus and was hospitalized and was on steroids

Release 8 — day 28, dose 2

2021-05-17

Symptoms: I have reoccurring resperatory , sinus ,allergy infections and today I am coughing have a appetite and no fever

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Reoccurring stomach inflamations allergy sinus and ENT infections constantly since 9/20

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: I have some coughing no fever

Healthcare visit (other): I had a office visit it was from a er room visit and was a Inflamation from my colon

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: I have had dizzy spells where the room was spinning and took OTC allergy chest and congestion medicine and cold and flu symptoms tgel tablets just today . Aching , but gave a good appetite drinking lots of green tea , breakfast drinks , hot chocolate cut off by CDC

Healthcare visit (other): Just doing oct meds ,eating

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	Colitis	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Medical observation	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory disorder	✓	✓	✓
SD	Rhinitis	✓	✓	✓
SD	Rhinovirus infection	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chronic obstructive pulmonary disease	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Gastrointestinal inflammation	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Groin pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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