48L-12298-61123

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 275 / NC
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Flatulence — Feeling: Good · Nausea

Free text: Pain from extreme gas pocket in upper stomach area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Flatulence — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Had extreme gas pressure the first 48 hours have prescription for nausea and gas starting to feel better m I take a prescription medication for constipation when needed I eat 2 servings of prunes daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-07
Dose 2 — Pfizer-BioNTech
2021-02-16
Survey response — day 7, dose 2
MedDRA: Erythema, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: The redness had abated some never went out of the ink marks ,but is still there ice packs and ibuprofen but still still there somewhat smaller

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Back pain, Cholelithiasis, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: My gallbladder is full of stones. Surgery scheduled for the 13th. I had daily nausea, fatigue back pain and a headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Cardioversion, Gallbladder operation, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gallbladder surgery may 13 then 3 days later my heart went into AFIB . I've been being treated by Champion Heart and vascular. On the 5 th of this month I had a transesophageal cardiogram with conversion. So far my breathing has stabilizedp

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-07
Survey response — 12 months, dose 2
MedDRA: Atrial fibrillation, Cardiac ablation, Cardioversion, Cholecystectomy, Office visit — 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Gall bladder removed,3 days later my heart went into AFIB, I had a cardioversion,my heart held rythym 5 days ,a couple of months later I had a Cardiac Ablation performed . I am on medication for the rest of my life . Praying the procedure holds a lon · Healthcare visit (other): Clinical

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-07	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Pain from extreme gas pocket in upper stomach area

2021-01-23

Systemic reaction (other): Had extreme gas pressure the first 48 hours have prescription for nausea and gas starting to feel better m I take a prescription medication for constipation when needed I eat 2 servings of prunes daily

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Slight nausea

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): The redness had abated some never went out of the ink marks ,but is still there ice packs and ibuprofen but still still there somewhat smaller

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: My gallbladder is full of stones. Surgery scheduled for the 13th. I had daily nausea, fatigue back pain and a headache

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Gallbladder surgery may 13 then 3 days later my heart went into AFIB . I've been being treated by Champion Heart and vascular. On the 5 th of this month I had a transesophageal cardiogram with conversion. So far my breathing has stabilizedp

Release 11 — 12 months, dose 2

2022-02-07

Symptoms: Gall bladder removed,3 days later my heart went into AFIB, I had a cardioversion,my heart held rythym 5 days ,a couple of months later I had a Cardiac Ablation performed . I am on medication for the rest of my life . Praying the procedure holds a lon cut off by CDC

Healthcare visit (other): Clinical

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	Office visit	·	·	✓
SD	Atrial fibrillation	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Cardiac ablation	·	·	✓
SD	Cardioversion	✓	·	✓
SD	Cholecystectomy	·	·	✓
SD	Cholelithiasis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gallbladder operation	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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