49Q-10759-65367

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 329 / FL
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: No rash but skin has been very itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Urinary tract infection — 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: I have UTI symptoms - I think theyre unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Bladder disorder, Bladder pain, Pollakiuria, Swelling, Urinary retention — Feeling: Good · 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: I had a problem with my bladder. I could feel swelling and I had to urinate 20-40 times per day for a few days. I did not have a UTI. Im feeling better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cystitis noninfective — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Inflamed Bladder

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-09
Survey response — day 7, dose 3
MedDRA: Conjunctival haemorrhage — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Subconjunctival hemorrhage

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-23
Survey response — day 21, dose 3
MedDRA: Back pain, Fatigue, Headache, Heavy menstrual bleeding, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very symptomatic period. Muscle aches, back pain, headache, fatigue, heavy bleeding.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 28, dose 3
MedDRA: Arthralgia, Muscle spasms, Neuralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle spasms and joint/nerve pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): No rash but skin has been very itchy.

Release 7 — day 14, dose 2

2021-04-14

Symptoms: I have UTI symptoms - I think theyre unrelated to the vaccine.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: I had a problem with my bladder. I could feel swelling and I had to urinate 20-40 times per day for a few days. I did not have a UTI. Im feeling better now.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Inflamed Bladder

Release 10 — day 7, dose 3

2021-10-09

Systemic reaction (other): Subconjunctival hemorrhage

Release 10 — day 21, dose 3

2021-10-23

Symptoms: Very symptomatic period. Muscle aches, back pain, headache, fatigue, heavy bleeding.

Release 10 — day 28, dose 3

2021-10-30

Symptoms: Muscle spasms and joint/nerve pain

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Bladder disorder	✓	·	✓
SD	Bladder pain	○	✓	○
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	·	·	✓
SD	Neuralgia	·	·	✓
SD	Pollakiuria	✓	·	✓
SD	Swelling	✓	·	✓
SD	Urinary retention	○	✓	○
SD	Urinary tract infection	✓	✓	✓
SRO	Conjunctival haemorrhage	·	·	✓
SRO	Cystitis noninfective	·	·	✓
SRO	Pruritus	✓	✓	✓

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