494-19411-37106

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 874 / NM
Registered: 2021-05-12

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

2021-05-11
Dose 1 — Pfizer-BioNTech
2021-05-12
Registered in v-safe
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain

Free text: I have many symptons going on not related or new after receiving shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Other medical issues that I could mark but nothing from the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nothing extra above normal issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Normal problems different day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor

Free text: Bad day but from normal medical issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Normal medical issues not related to shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Normal medical issues not because of shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Not because of vac shot. Having a flare from other medical conditions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Dose 2 — Pfizer-BioNTech
2021-06-08
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Normal daily stuff for me. Not shot related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-06-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 3 months, dose 2
MedDRA: Blood disorder, Bone marrow disorder, Oesophageal stenosis, Turner's syndrome — 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: 2 strictures in esophagus, yellowing of bone marrow in spine, Found Monopsony X type Turner Syndrome. Dilating strictures again next Friday, maybe 1 or 2 more times. Have to watch bone marrow for growth and blood production issues.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-02
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-11	Pfizer-BioNTech
2	2021-06-01	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-12

Systemic reaction (other): I have many symptons going on not related or new after receiving shot.

2021-05-13

Systemic reaction (other): Other medical issues that I could mark but nothing from the shot

2021-05-14

Systemic reaction (other): Nothing extra above normal issues

2021-05-15

Systemic reaction (other): Normal problems different day

2021-05-16

Systemic reaction (other): Bad day but from normal medical issues

2021-05-17

Systemic reaction (other): Normal medical issues not related to shot.

Release 8 — day 7, dose 1

2021-05-18

Systemic reaction (other): Normal medical issues not because of shot.

Release 8 — day 14, dose 1

2021-05-25

Symptoms: Not because of vac shot. Having a flare from other medical conditions.

Release 8 — day 7, dose 2

2021-06-08

Systemic reaction (other): Normal daily stuff for me. Not shot related

Release 9 — 3 months, dose 2

2021-09-02

Symptoms: 2 strictures in esophagus, yellowing of bone marrow in spine, Found Monopsony X type Turner Syndrome. Dilating strictures again next Friday, maybe 1 or 2 more times. Have to watch bone marrow for growth and blood production issues.

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	Blood disorder	✓	·	✓
SD	Bone marrow disorder	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	Oesophageal stenosis	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Turner's syndrome	✓	·	✓
SD	Unevaluable event	○	✓	○
SRO	Adverse reaction	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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