4DY-17481-99332

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 544 / WI
Registered: 2021-03-23

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Pain

Free text: Night after the vacs I felt hot, took off a blanket & was fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest injury, Fall, Fatigue, Pre-existing disease — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: One week ago I had a fall and cracked 5 ribs which would effect this, but I think fatigue increased post vacs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I broke 5 ribs 4 days before 2nd vacs, most likely this is the cause of my symptoms. However I believe they were increased disproportionately in the 2 days post 2nd vacs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Rib fracture — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Added to this is 5 cracked ribs 11 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Foot operation, Medical observation — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Foot surgery · Healthcare visit (other): 23 hrs observation after surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Pfizer-BioNTech
2022-01-19
Call 1 — Left Voicemail
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-02
Survey response — 12 months, dose 3
MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mild fever. 1.5o above normal for 2 wks and increased fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-05
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Night after the vacs I felt hot, took off a blanket & was fine

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): One week ago I had a fall and cracked 5 ribs which would effect this, but I think fatigue increased post vacs

2021-04-12

Systemic reaction (other): I broke 5 ribs 4 days before 2nd vacs, most likely this is the cause of my symptoms. However I believe they were increased disproportionately in the 2 days post 2nd vacs

2021-04-13

Systemic reaction (other): Added to this is 5 cracked ribs 11 days ago

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Foot surgery

Healthcare visit (other): 23 hrs observation after surgery

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Mild fever. 1.5o above normal for 2 wks and increased fatigue

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	Medical observation	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Foot operation	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Chest injury	✓	✓	✓
SRO	Fall	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rib fracture	✓	✓	✓

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