497-14126-92942

4 vaccinations 8 coded responses 29 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Problems sleeping-waking in the middle of the night for hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — day 7, dose 1
MedDRA: Decreased appetite, Headache, Nausea — Feeling: Good · Nausea

Free text: I couldnt get this site to work very well for a few days and didnt report that on the any of, and two following days, I had a queasy stomach. Not outright nausea, it felt as though the food wasnt moving through, and I wasnt hungry. Headache on the first day, but I reported that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Diverticulitis, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Flareup of diverticulitis - abdominal pain · Healthcare visit (other): Doctor visit, urinalysis and CT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Chills, Diarrhoea, Headache, Pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: First full after 2nd vaccine was handled with Tylenol; night of first full day (so the second night), I had weird shivering. The next day (1-28) I had a headache and body aches, needed a long nap. Today, slightly upset stomach and mild diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Feeling abnormal, Gastrointestinal pain — Feeling: Fair

Free text: Upset gut-pain and diarrhea. Probably related to diverticulitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-31
Call 1 — Left Voicemail
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-05-14
Survey response — day 14, dose 4
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very sore throat, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Survey response — 3 months, dose 4
MedDRA: Diverticulitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Diverticulitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 6 months, dose 4
MedDRA: Cough, Fatigue, Influenza, Lethargy, Nasopharyngitis, Pyrexia, Sneezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Flu or cold-low grade fever, lethargy and fatigue, sneezing, wet cough.

MedDRA releases: 2024-11 · check-in free text available
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech
3	2021-08-28	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Problems sleeping-waking in the middle of the night for hours

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): I couldnt get this site to work very well for a few days and didnt report that on the any of, and two following days, I had a queasy stomach. Not outright nausea, it felt as though the food wasnt moving through, and I wasnt hungry. Headache on the first day, but I reported that.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Flareup of diverticulitis - abdominal pain

Healthcare visit (other): Doctor visit, urinalysis and CT

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): First full after 2nd vaccine was handled with Tylenol; night of first full day (so the second night), I had weird shivering. The next day (1-28) I had a headache and body aches, needed a long nap. Today, slightly upset stomach and mild diarrhea.

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Upset gut-pain and diarrhea. Probably related to diverticulitis.

Release 11 — day 14, dose 4

2022-05-14

Symptoms: Very sore throat, cough, headache

Release 12 — 3 months, dose 4

2022-07-28

Symptoms: Diverticulitis

Release 12 — 6 months, dose 4

2022-10-27

Symptoms: Flu or cold-low grade fever, lethargy and fatigue, sneezing, wet cough.

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	Abdominal pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Lethargy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sneezing	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓

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