4EM-21109-09912

3 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 534 / WI
Registered: 2021-07-25

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-07-25
Registered in v-safe
2021-07-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Dose 3 — Pfizer-BioNTech
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat & runny nose developed later in day today. Health condition: Lupus SLE & chronic migraine

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms improved significantly throughout day

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Diarrhea

Free text: Health condition: Lupus SLE

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 28, dose 3
MedDRA: Cough, Exposure to SARS-CoV-2, Gastrointestinal disorder, Headache, Myalgia, Oropharyngeal pain, Parosmia, Pyrexia, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, cough, sore throat, phantom smells, headache, muscle aches, intestinal issues, rash. Exposure to positive COVID19 case; my test was negative though.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 35, dose 3
MedDRA: Fatigue, Fibromyalgia, Myalgia — 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 · Outpatient clinic or urgent care clinic visit

Free text: Increased fatigue and muscle pain. Diagnosed with fibromyalgia.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-14
Call 2 — Left Voicemail
2021-12-15
Survey response — day 42, dose 3
MedDRA: Cough, Dizziness, Exposure to SARS-CoV-2, Headache, Hypoaesthesia, Myalgia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizzy, cough, runny nose, headache, muscle aches, numbness, cough. 3 people in my home have tested positive for COVID. Probably have it too.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-11-06
Survey response — 12 months, dose 3
MedDRA: Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Chronic hives of unknown origin

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — 12 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call 1 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech	No
2	2021-04-24	Pfizer-BioNTech	No
3	2021-11-03	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Sore throat & runny nose developed later in day today. Health condition: Lupus SLE & chronic migraine

2021-11-05

Systemic reaction (other): Symptoms improved significantly throughout day

2021-11-06

Systemic reaction (other): Health condition: Lupus SLE

Release 10 — day 28, dose 3

2021-12-01

Symptoms: Fever, cough, sore throat, phantom smells, headache, muscle aches, intestinal issues, rash. Exposure to positive COVID19 case; my test was negative though.

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Increased fatigue and muscle pain. Diagnosed with fibromyalgia.

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Dizzy, cough, runny nose, headache, muscle aches, numbness, cough. 3 people in my home have tested positive for COVID. Probably have it too.

Release 12 — 12 months, dose 3

2022-11-06

Symptoms: Chronic hives of unknown origin

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	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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