49Y-14681-09006

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 487 / MI
Registered: 2021-01-19

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-18
Dose 1 — Pfizer-BioNTech
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Leg pain; difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Appetite disorder, Back pain, Chest pain — Feeling: Good · Site: Pain · Fever · Headache, Joint pains

Free text: Appetite seems off today. I still have upper right back and right chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chest pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Still back and chest pain on the right side. Its getting some better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated — Feeling: Good · Fatigue or tiredness

Free text: Same as before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Alopecia, COVID-19, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hair lossLeg painDiagnosed with COVID 11/23/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 42, dose 2
MedDRA: Alopecia, Fatigue, Pain in jaw, Toothache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued hair lossTeeth/jaw painTiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Alopecia, Amnesia, Arthralgia, Chest pain, Fatigue, Insomnia, Thinking abnormal, Toothache, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tooth pain; joint pain; chest pain; tiredness; hair loss; blurry vision; sleeplessness at night; trouble remembering; thinking clearly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Alopecia, Arthralgia, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: New joint pain, headaches continue, hair growth but now its curly and thin · Healthcare visit (other): Several face-to-face doctor appointments

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Call 1 — Left Voicemail
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Leg pain; difficulty concentrating

2021-01-20

Systemic reaction (other): Appetite seems off today. I still have upper right back and right chest pain

2021-01-21

Systemic reaction (other): Still back and chest pain on the right side. Its getting some better

2021-01-22

Systemic reaction (other): Same as before

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Hair lossLeg painDiagnosed with COVID 11/23/2020

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Continued hair lossTeeth/jaw painTiredness

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Tooth pain; joint pain; chest pain; tiredness; hair loss; blurry vision; sleeplessness at night; trouble remembering; thinking clearly

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: New joint pain, headaches continue, hair growth but now its curly and thin

Healthcare visit (other): Several face-to-face doctor appointments

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	Alopecia	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Thinking abnormal	✓	✓	✓
SD	Toothache	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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