432-21214-05424

4 vaccinations 9 coded responses 35 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 950 / CA
Registered: 2021-05-10

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

2021-04-20
Dose 1 — Pfizer-BioNTech
2021-05-10
Registered in v-safe
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Chest has felt congested, get out of breath from normal exertion. Also, yesterday after check in, had fever of 99.7 around 5:30pm and was feverish most of the evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-18
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Headache likely due to neck issues rather than vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Haematochezia, Pre-existing disease, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Seasonal allergies; tachycardia (probably recurrence); blood in stool (new symptom of existing hemorrhoids). Fair today due to lack of sleep last night (happens sporadically, no change from pre vaccination)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Dose 3 — Moderna
2021-12-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness

Free text: Last night fever spiked to 101.2, fever broke around midnight. Normal temperature after about 10am today.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Diarrhea

Free text: Tenderness in armpit on the side where injection given (first noticed yesterday after check-in)

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Tenderness in armpit by injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-09
Call 1 — Could Not Reach Participant
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Flatulence — Feeling: Good

Free text: Intestinal gas

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Call 2 — Could Not Reach Participant
2021-12-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 21, dose 3
MedDRA: Stomatitis — Feeling: Fair

Free text: Sore on roof of mouth earlier this week

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-05
Survey response — 3 months, dose 3
MedDRA: Ligament sprain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Sprained ankle, seasonal allergies

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 4 — Moderna
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-12-04	Moderna	No
4	2022-09-16	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Chest has felt congested, get out of breath from normal exertion. Also, yesterday after check in, had fever of 99.7 around 5:30pm and was feverish most of the evening.

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Headache likely due to neck issues rather than vaccine

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Seasonal allergies; tachycardia (probably recurrence); blood in stool (new symptom of existing hemorrhoids). Fair today due to lack of sleep last night (happens sporadically, no change from pre vaccination)

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): Last night fever spiked to 101.2, fever broke around midnight. Normal temperature after about 10am today.

2021-12-07

Systemic reaction (other): Tenderness in armpit on the side where injection given (first noticed yesterday after check-in)

2021-12-08

Systemic reaction (other): Tenderness in armpit by injection site

2021-12-10

Systemic reaction (other): Intestinal gas

Release 10 — day 21, dose 3

2021-12-25

Symptoms: Sore on roof of mouth earlier this week

Release 11 — 3 months, dose 3

2022-03-05

Symptoms: Sprained ankle, seasonal allergies

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	Haematochezia	✓	·	✓
SD	Ligament sprain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Stomatitis	·	·	✓
SD	Tachycardia	✓	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Flatulence	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Tenderness	·	·	✓

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