4C7-23806-58589

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 953 / CA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Poor · Site: Redness, Itching · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache

Free text: Sore throat - mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor

Free text: Exacerbation of chronic hypoglycemia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Hypoglycemia and CFS/ME (chronic fatigue syndrome/myalgic encephalomyelitis)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-11
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Appendicectomy, Appendicitis, Surgery — Feeling: Poor · Site: Pain · Fever · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Diagnosed appendicitis requiring surgery · Healthcare visit (other): Appendix removed

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Appendicectomy — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Abdominal pain probably due to appendectomy surgery late last night

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Call 1 — Left Voicemail
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Appendicitis — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Appendicitis

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — day 7, dose 3
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-25
Survey response — day 14, dose 3
MedDRA: Appendicitis, Hospitalisation, Immunisation reaction, Post procedural complication, Small intestinal obstruction — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Small bowel obstruction requiring hospitalization as a complication following surgery to treat appendicitis caused by COVID booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-01-01
Survey response — day 21, dose 3
MedDRA: Post procedural complication, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Required second surgery following Appendectomy to resolve complications following initial surgery. · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-12-11
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-12-11	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Sore throat - mild

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Depression

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Exacerbation of chronic hypoglycemia

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Hypoglycemia and CFS/ME (chronic fatigue syndrome/myalgic encephalomyelitis)

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Diagnosed appendicitis requiring surgery

Healthcare visit (other): Appendix removed

2021-12-15

Systemic reaction (other): Abdominal pain probably due to appendectomy surgery late last night

2021-12-17

Systemic reaction (other): Appendicitis

Release 10 — day 14, dose 3

2021-12-25

Symptoms: Small bowel obstruction requiring hospitalization as a complication following surgery to treat appendicitis caused by COVID booster.

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Required second surgery following Appendectomy to resolve complications following initial surgery.

Healthcare visit (other): Surgery

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	Appendicectomy	·	·	✓
HCVO	Surgery	·	·	✓
SD	Appendicitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Post procedural complication	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Small intestinal obstruction	·	·	✓
SD	Surgery	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Appendicectomy	·	·	✓
SRO	Appendicitis	·	·	✓
SRO	Depression	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Surgery	·	·	✓

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