42R-28747-63534

4 vaccinations 9 coded responses 46 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 606 / IL
Registered: 2021-01-07

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

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Joint dislocation — Feeling: Good

Free text: My right shoulder randomly dislocated earlier today. It was painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Pfizer-BioNTech
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to work

Free text: Nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 2
MedDRA: Muscular weakness, Neuralgia — Feeling: Good

Free text: Occasional weakness in my legs. Felt like some kind of nerve pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Nausea, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I felt really nauseated for the past two days... Not sure if it's related to anything.Also experienced really bad allergies since the last check-in.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Joint dislocation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Dislocated my shoulder

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Survey response — day 28, dose 3
MedDRA: Arthralgia, Toothache — Feeling: Good

Free text: Joint pains, toothache

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 35, dose 3
MedDRA: Tooth impacted, Toothache — Feeling: Poor · 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: Toothache, impacted wisdom teeth.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Report sent to call center — day 35, 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)
2021-11-09
Call 1 — Left Voicemail
2021-11-13
Survey response — day 42, dose 3
MedDRA: Toothache — 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: Toothache. Root canal pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 42, 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)
2021-11-15
Call 1 — Left Voicemail
2021-11-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-13
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-13
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: I had covid.

MedDRA releases: 2024-11 · check-in free text available
2023-03-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-01-28	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No
4	2022-09-13	Pfizer-BioNTech	Flu

Call center

4 call center cases

2 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: My right shoulder randomly dislocated earlier today. It was painful.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Nerve pain

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Occasional weakness in my legs. Felt like some kind of nerve pain.

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: I felt really nauseated for the past two days... Not sure if it's related to anything.Also experienced really bad allergies since the last check-in.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Dislocated my shoulder

Release 10 — day 28, dose 3

2021-10-30

Symptoms: Joint pains, toothache

Release 10 — day 35, dose 3

2021-11-06

Symptoms: Toothache, impacted wisdom teeth.

Release 10 — day 42, dose 3

2021-11-13

Symptoms: Toothache. Root canal pain.

Release 12 — 3 months, dose 4

2022-12-13

Symptoms: I had covid.

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	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Hypersensitivity	✓	·	✓
SD	Joint dislocation	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Tooth impacted	·	·	✓
SD	Toothache	·	·	✓
SRO	Joint dislocation	·	·	✓
SRO	Neuralgia	✓	✓	✓

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