44F-23538-39914

4 vaccinations 7 coded responses 37 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-05-16

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

2021-04-23
Dose 1 — Pfizer-BioNTech
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-16
Registered in v-safe
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Decreased appetite, Fatigue, Pain, Pyrexia — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: 12 hours following shot had fever 101, severe chills, Ached, lasted all night. Extreme fatigue next day. No appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Asthma flare · Healthcare visit (other): Outpatient heart catheterization which was negative and turned out to be the asthma flare

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
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

Hospitalization · 1 call case(s)
2021-11-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-11-18
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-19
Survey response — 3 months, dose 3
MedDRA: Fatigue, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head congestion, achy, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Dose 4 — Moderna
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chills, Injection site warmth, Nausea, Pain, Rash — Feeling: Good

Free text: Developed a rash over most of body on days 2-4. The rash has become more significant with each shot. Also on day 3, developed large(4"), long, hot area on arm around injection site. Had chills, extreme aches, mild nausea first 36 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-04
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Fatigue, Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea/nausea with mild fever, mild sore throat and stuffiness, severe achiness and fatigue. Lasted about 5 days. Home covid test was negative. My husband had it, too, and had been vaccinated at same time I was.

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-12
Survey response — 6 months, dose 4
MedDRA: Brain fog, COVID-19, Cough, Dyspnoea, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Rash, Respiratory tract congestion — 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

Free text: Covid ~ fever, cough, fatigue, sore throat, headache, body aches, congestion, rash, short of breath, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-14
Survey response — 12 months, dose 4
MedDRA: Adverse drug reaction — 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

MedDRA releases: 2024-11
2023-05-14
Report sent to call center — 12 months, dose 4
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 · 1 call case(s)
2023-05-15
Call 1 — Could Not Reach Participant
2023-05-18
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No
4	2022-05-14	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): 12 hours following shot had fever 101, severe chills, Ached, lasted all night. Extreme fatigue next day. No appetite.

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Asthma flare

Healthcare visit (other): Outpatient heart catheterization which was negative and turned out to be the asthma flare

Release 11 — 3 months, dose 3

2022-02-19

Symptoms: Head congestion, achy, fatigue

Release 11 — days 1–6 daily, dose 4

2022-05-20

Systemic reaction (other): Developed a rash over most of body on days 2-4. The rash has become more significant with each shot. Also on day 3, developed large(4"), long, hot area on arm around injection site. Had chills, extreme aches, mild nausea first 36 hours.

Release 11 — day 21, dose 4

2022-06-04

Symptoms: Diarrhea/nausea with mild fever, mild sore throat and stuffiness, severe achiness and fatigue. Lasted about 5 days. Home covid test was negative. My husband had it, too, and had been vaccinated at same time I was.

Release 12 — 6 months, dose 4

2022-11-12

Symptoms: Covid ~ fever, cough, fatigue, sore throat, headache, body aches, congestion, rash, short of breath, 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
HCVO	Asthma	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Asthma	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	·	·	✓

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