434-20197-37126

5 vaccinations 12 coded responses 48 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-04-09

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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — day 0, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Woke up not feeling well, long before my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 35, dose 2
MedDRA: Electric shock sensation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Brain Zap most likely from taking an SNRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — day 42, dose 2
MedDRA: Dizziness, Electric shock sensation, Pre-existing disease, Tinnitus, Vestibular migraine — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Vestibular migraines, brain zaps, tinnitus, and dizziness possibly caused by my SNRI or by worsening SSCD.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Arthritis — Feeling: Fair · 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: Arthritis in knees

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Call successful
Not applicable - Accidental Reporting
2021-10-27
Call successful
Not applicable - Accidental Reporting
2021-12-03
Dose 3 — Janssen/Johnson & Johnson
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Ageusia, Arthritis, Pre-existing disease, SARS-CoV-2 test negative, Weight bearing difficulty — Feeling: Good · 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: 1) Lost sense of taste for a week in March, tested negative for Covid on 2 home tests, getting better 2) severe knee arthritis flare up also in March, could not bear weight, slowly getting better

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 12 months, dose 2
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)
2022-04-28
Call 1 — Left Voicemail
2022-04-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-01
Dose 4 — Moderna
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-08
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-22
Survey response — day 21, dose 4
MedDRA: Abdominal pain upper, Adrenal disorder, Anaemia, Brain fog, Fatigue, Headache, Malaise, Muscular weakness, Palpitations, Photophobia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Felt unwell this past week. Suspect anemia or adrenal fatigue. Headache, stomachache, brain fog, tinnitus, extreme fatigue, muscle weakness, palpitations, sensitivity to light.

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-05
Survey response — day 35, dose 4
MedDRA: Food poisoning — Feeling: Fair · Be unable to do your normal daily activities

Free text: Food poisoning

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-01
Survey response — 3 months, dose 4
MedDRA: Condition aggravated, Pre-existing disease, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI, and interstitial cystitis flare ups

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-03
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-03
Survey response — day 0, dose 5
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · Headache, Nausea

Free text: Lightheadedness about 15 minutes after the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-31
Survey response — day 28, dose 5
MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Terrible migraine

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — day 35, dose 5
MedDRA: Brain fog, Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, malaise, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-03
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-03
Survey response — 6 months, dose 5
MedDRA: Anxiety, Panic attack — 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

MedDRA releases: 2024-11
2023-04-03
Report sent to call center — 6 months, dose 5
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)
2023-04-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-12-03	Janssen/Johnson & Johnson	No
4	2022-05-01	Moderna	No
5	2022-10-03	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Woke up not feeling well, long before my shot.

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Brain Zap most likely from taking an SNRI

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Vestibular migraines, brain zaps, tinnitus, and dizziness possibly caused by my SNRI or by worsening SSCD.

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Arthritis in knees

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: 1) Lost sense of taste for a week in March, tested negative for Covid on 2 home tests, getting better 2) severe knee arthritis flare up also in March, could not bear weight, slowly getting better

Release 11 — day 21, dose 4

2022-05-22

Symptoms: Felt unwell this past week. Suspect anemia or adrenal fatigue. Headache, stomachache, brain fog, tinnitus, extreme fatigue, muscle weakness, palpitations, sensitivity to light.

Release 11 — day 35, dose 4

2022-06-05

Symptoms: Food poisoning

Release 12 — 3 months, dose 4

2022-08-01

Symptoms: UTI, and interstitial cystitis flare ups

Release 12 — day 0, dose 5

2022-10-03

Systemic reaction (other): Lightheadedness about 15 minutes after the vaccine

Release 12 — day 28, dose 5

2022-10-31

Symptoms: Terrible migraine

Release 12 — day 35, dose 5

2022-11-07

Symptoms: Headache, malaise, brain fog

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	Abdominal pain upper	·	·	✓
SD	Adrenal disorder	·	·	✓
SD	Ageusia	·	·	✓
SD	Anaemia	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthritis	·	·	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Electric shock sensation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Food poisoning	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Palpitations	·	·	✓
SD	Panic attack	·	·	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Vestibular migraine	✓	✓	✓
SD	Weight bearing difficulty	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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