4AU-23285-75446

4 vaccinations 9 coded responses 32 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 546 / WI
Registered: 2020-12-28

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

2020-12-27
Dose 1 — Pfizer-BioNTech
2020-12-28
Registered in v-safe
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Just an FYI these did start 10 hours after receiving the shot and I stayed home sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 2
MedDRA: Ageusia, Cystitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Since last check in I developed a bladder infection I still am experiencing symptoms . I spoke to a colleague who has a reaction as well after second injection and she developed a severe bladder infection. I have loss of taste again salt and sugar.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 42, dose 2
MedDRA: Cystitis, Inflammation, Pelvic pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: I had a bladder infection and now have pelvic pain from inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Call 1 — Left Voicemail
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breadth

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-01-20
Survey response — 12 months, dose 2
MedDRA: Diarrhoea, Dyspnoea, Fatigue, Headache, Nausea, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Shortness of breadth , fatigue, nausea, diarrhea, headache , body aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-13
Survey response — day 14, dose 4
MedDRA: Dyspnoea, Headache, Nasal congestion — Feeling: Fair

Free text: Headache stuffed up nose. Not able to breathe well

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Survey response — 3 months, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not breathing well

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — 6 months, dose 4
MedDRA: Abdominal pain upper, Cough, Flatulence, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible stomach cramping , gas . Slight cough , runny nose and body aches

MedDRA releases: 2024-11 · check-in free text available
2023-05-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No

Call center

3 call center cases

1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-10

Symptoms: Fatigue

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Just an FYI these did start 10 hours after receiving the shot and I stayed home sick

Release 4 — day 35, dose 2

2021-02-24

Symptoms: Since last check in I developed a bladder infection I still am experiencing symptoms . I spoke to a colleague who has a reaction as well after second injection and she developed a severe bladder infection. I have loss of taste again salt and sugar. cut off by CDC

Release 5 — day 42, dose 2

2021-03-03

Symptoms: I had a bladder infection and now have pelvic pain from inflammation

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Shortness of breadth

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: Shortness of breadth , fatigue, nausea, diarrhea, headache , body aches

Release 11 — day 14, dose 4

2022-05-13

Symptoms: Headache stuffed up nose. Not able to breathe well

Release 12 — 3 months, dose 4

2022-07-30

Symptoms: Not breathing well

Release 12 — 6 months, dose 4

2022-10-28

Symptoms: Terrible stomach cramping , gas . Slight cough , runny nose and body aches

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	Abdominal pain upper	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Cough	·	·	✓
SD	Cystitis	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pelvic pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	No adverse event	✓	✓	○

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