4C4-18936-88373

4 vaccinations 6 coded responses 24 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 799 / TX
Registered: 2021-01-05

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2021-01-05
Registered in v-safe
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Feel very tired. Do not have the energy i had

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

Adult check-in
2021-02-18
Survey response — day 35, dose 2
MedDRA: Asthma — Feeling: Good

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a little nausea and stomach upset for 2 days on Sat snd Sun. It was the ssme food that both my husband ate and was home made

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 6 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Exacerbation of asthma that happens from time to time

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-07-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-16
Dose 3 — Moderna
2022-01-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — 6 months, dose 4
MedDRA: Brain fog, COVID-19, Dyspnoea exertional, Fatigue, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Was admitted to hosp with COVID (3RD episode in 2 months) and Rx with Remdisivir for 5 days. Now have fatigue at times and shortness of breath on mild exertion. Initially had brain fog that has gotten significantly better

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-10
Call 1 — Left Voicemail
2022-10-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-08
Survey response — 12 months, dose 4
MedDRA: Asthma — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-08-16	Moderna	No
4	2022-04-08	Pfizer-BioNTech	No

Call center

3 call center cases

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

See the call center timeline

Free text

Release 3 — day 21, dose 2

2021-02-04

Symptoms: Feel very tired. Do not have the energy i had

Release 4 — day 35, dose 2

2021-02-18

Symptoms: Asthma

Release 4 — day 42, dose 2

2021-02-25

Symptoms: Had a little nausea and stomach upset for 2 days on Sat snd Sun. It was the ssme food that both my husband ate and was home made

Release 9 — 6 months, dose 2

2021-07-17

Symptoms: Exacerbation of asthma that happens from time to time

Release 12 — 6 months, dose 4

2022-10-07

Symptoms: Was admitted to hosp with COVID (3RD episode in 2 months) and Rx with Remdisivir for 5 days. Now have fatigue at times and shortness of breath on mild exertion. Initially had brain fog that has gotten significantly better

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 discomfort	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓

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