4E4-25230-34668

4 vaccinations 8 coded responses 34 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 176 / PA
Registered: 2021-01-03

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

Registered dependents

CUP-71465-79546 Child or adolescent in my care · Female · 2021-11-04

Timeline

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

2020-12-30
Dose 1 — Pfizer-BioNTech
2021-01-03
Registered in v-safe
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea — Feeling: Good · Site: Pain

Free text: I had mild headache and nausea in the first 24 hours that resolved by day 2

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

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Fall — Feeling: Good · Fever · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have fallen three times since getting my vaccine a week ago, though I don't necessarily think it's related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-02-08
Call 1 — Left Voicemail
2021-02-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-24
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Malaise, Self-medication — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea

Free text: Malaise; Headache finally went away around 1am after taking Aleve

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair · Fatigue or tiredness

Free text: GI upset

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-23
Survey response — day 28, dose 3
MedDRA: Chest pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening chest pain · Healthcare visit (other): Endoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-29
Survey response — day 35, dose 3
MedDRA: Cough, Pre-existing disease — Feeling: Good

Free text: Mild cough, likely related to an underlying chronic cough and recent endoscopy.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Survey response — 3 months, dose 3
MedDRA: Cough, Pre-existing disease — Feeling: Good

Free text: Slightly worsened cough (I have chronic cough at baseline)

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-24
Dose 4 — Moderna
2023-03-26
Survey response — 6 months, dose 4
MedDRA: Autonomic nervous system imbalance — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-26
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-09-24	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): I had mild headache and nausea in the first 24 hours that resolved by day 2

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): I have fallen three times since getting my vaccine a week ago, though I don't necessarily think it's related to the vaccine

Release 9 — days 1–6 daily, dose 3

2021-09-26

Systemic reaction (other): Malaise; Headache finally went away around 1am after taking Aleve

2021-09-28

Systemic reaction (other): GI upset

Release 10 — day 28, dose 3

2021-10-23

Symptoms: Worsening chest pain

Healthcare visit (other): Endoscopy

Release 10 — day 35, dose 3

2021-10-29

Symptoms: Mild cough, likely related to an underlying chronic cough and recent endoscopy.

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Slightly worsened cough (I have chronic cough at baseline)

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	Unevaluable event	·	·	✓
SD	Autonomic nervous system imbalance	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Fall	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Self-medication	·	·	✓

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