47H-27539-97716

4 vaccinations 11 coded responses 40 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 981 / WA
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Nausea — Feeling: Poor

Free text: Extreme constant nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Premenstrual syndrome — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, and PMS symptoms. I havent had a period in years and am having strong pms symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Intense pms symptoms (havent had a period in years) severe brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Premenstrual syndrome — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Brain fog, pms symptoms when i have not had a period or symptoms in years

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Arm has just started hurting again right at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-29
Health check-in — day 0, dose 3
Feeling: Fair · Chills, Headache, Abdominal pain

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SEVERE abdominal and lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-11-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Ear swelling — 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: Unrelated but having inner ear swelling

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Report sent to call center — day 21, 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)
2021-11-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Ear discomfort, Eustachian tube disorder — 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: Eustachian tube issues, negative ear pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, 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)
2022-02-02
Call 1 — Left Voicemail
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-16
Dose 4 — Pfizer-BioNTech
2022-07-16
Survey response — day 0, dose 4
MedDRA: Brain fog — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Major brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-07-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-07-23
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-08-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-07-16	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): brain fog

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Extreme constant nausea

Release 7 — day 0, dose 2

2021-04-11

Systemic reaction (other): brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Brain fog, and PMS symptoms. I havent had a period in years and am having strong pms symptoms

2021-04-13

Systemic reaction (other): Intense pms symptoms (havent had a period in years) severe brain fog

2021-04-14

Systemic reaction (other): Brain fog, pms symptoms when i have not had a period or symptoms in years

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Arm has just started hurting again right at the injection site

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): SEVERE abdominal and lower back pain

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Unrelated but having inner ear swelling

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Eustachian tube issues, negative ear pressure

Release 12 — day 0, dose 4

2022-07-16

Systemic reaction (other): Major 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	Ear discomfort	·	·	✓
SD	Ear swelling	·	·	✓
SD	Eustachian tube disorder	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Back pain	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Premenstrual syndrome	✓	✓	✓

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