4DY-10235-61493

5 vaccinations 12 coded responses 52 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 483 / MI
Registered: 2021-01-12

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: The headache is weird. It's just behind my eyeballs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Headache — Feeling: Good · Site: Pain · Headache

Free text: Headache was still behind my eyes but MUCH less noticeable than yesterday & significantly less noticeable than the day before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Intermittent diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Intermittent very loose stool bordering on diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Dose 3 — Pfizer-BioNTech
2021-08-17
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-08-18
Survey response — days 1–6 daily, dose 3
MedDRA: Ocular discomfort — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Pressure behind my eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea, Frequent bowel movements, Ocular discomfort — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Pressure behind my eyes. I dont have diarrhea, but I def have noticed more frequent & looser stool

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort, Abnormal faeces — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: General GI distress. Not diarrhea but definitely some stool issues

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-17
Survey response — 6 months, dose 3
MedDRA: Palpitations — Feeling: Good

Free text: Have occasional sensation of my heart racing.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Dose 4 — Moderna
2022-05-18
Survey response — day 0, dose 4
MedDRA: Ocular discomfort — Feeling: Good · Site: Pain, Swelling

Free text: Mild pressure behind my eyes.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Ocular discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pressure behind my eyes.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea — Feeling: Good · Site: Swelling, Itching

Free text: Not diarrhea but very loose stool

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Diarrhea, Abdominal pain

Adult check-in
2022-06-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-26
Dose 5 — Pfizer-BioNTech
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-27
Survey response — 6 months, dose 5
MedDRA: Chills, Cough, Oropharyngeal pain, Viral upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-08-17	Pfizer-BioNTech	No
4	2022-05-18	Moderna	No
5	2022-09-26	Pfizer-BioNTech	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): The headache is weird. It's just behind my eyeballs.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Headache was still behind my eyes but MUCH less noticeable than yesterday & significantly less noticeable than the day before.

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Intermittent diarrhea.

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Intermittent very loose stool bordering on diarrhea.

Release 9 — days 1–6 daily, dose 3

2021-08-18

Systemic reaction (other): Pressure behind my eyes

2021-08-19

Systemic reaction (other): Pressure behind my eyes. I dont have diarrhea, but I def have noticed more frequent & looser stool

2021-08-21

Systemic reaction (other): General GI distress. Not diarrhea but definitely some stool issues

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: Have occasional sensation of my heart racing.

Release 11 — day 0, dose 4

2022-05-18

Systemic reaction (other): Mild pressure behind my eyes.

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): Pressure behind my eyes.

2022-05-22

Systemic reaction (other): Not diarrhea but very loose stool

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Abdominal discomfort	✓	·	✓
SRO	Abnormal faeces	✓	·	✓
SRO	Diarrhoea	✓	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Frequent bowel movements	✓	·	✓
SRO	Headache	✓	✓	✓
SRO	Ocular discomfort	✓	·	✓

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