4FA-80709-57542

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 221 / VA
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 1
MedDRA: Ear pain, Facial pain — Feeling: Good · Headache

Free text: My ear and face ached like i I was having a bells palsey episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wheezing and difficulty breathing

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

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have been experiencing continuing asthma issues and now dr thinks i am going to need to switch to a steroid inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Rhinorrhoea — Feeling: Fair · Diarrhea

Free text: My nose started running like 10 mins after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Wheezing — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Heaviness in chest with wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Chills, Dizziness, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizziness, vomiting yellow and green bile all day yesterday, fever and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, 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)
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Balance disorder, Dizziness, Nausea, Tinnitus, Vomiting — Feeling: Poor · Be unable to work, 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: Dizziness, nauseous, vomiting, constant ringing in ear and unsteady on my feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
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)
2021-05-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Hypertension — 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: I now have high blood pressure and taking meds. Short of breath easily

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-27
Call 1 — Could Not Reach Participant
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Folate deficiency, Hypertension, Tinnitus, Unevaluable event, White blood cell count increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: High blood pressure, constant ringing ears, elevated white cell count, severe lack of folic acid · Healthcare visit (other): Multiple blood tests

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-10-09
Dose 3 — Moderna
2022-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Drooling — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Involuntary drooling

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Survey response — day 7, dose 3
MedDRA: Wheezing — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-10-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-11-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2022-10-09	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): My ear and face ached like i I was having a bells palsey episode.

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Wheezing and difficulty breathing

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Have been experiencing continuing asthma issues and now dr thinks i am going to need to switch to a steroid inhaler.

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): My nose started running like 10 mins after vaccine

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Sore throat

2021-04-19

Systemic reaction (other): Heaviness in chest with wheezing

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Dizziness, vomiting yellow and green bile all day yesterday, fever and chills

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Dizziness, nauseous, vomiting, constant ringing in ear and unsteady on my feet.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: I now have high blood pressure and taking meds. Short of breath easily

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: High blood pressure, constant ringing ears, elevated white cell count, severe lack of folic acid

Healthcare visit (other): Multiple blood tests

Release 12 — days 1–6 daily, dose 3

2022-10-11

Systemic reaction (other): Involuntary drooling

Release 12 — day 7, dose 3

2022-10-16

Systemic reaction (other): Wheezing

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	Asthma	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Folate deficiency	·	·	✓
SD	Hypertension	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	White blood cell count increased	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Drooling	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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