4GG-18127-42697

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2021-03-24

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

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-24
Registered in v-safe
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Feeling cold — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: cold nose, shoulder pain in opposite arm that is moderate compared to rest of pain. No reason for left shoulder pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Faeces pale — Feeling: Good

Free text: Light tan colored poop Ive had it since the day after vaccination but now its starting to concern me. But its not like its white or chalk so hopefully it will go away soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Abdominal pain

Free text: Weird pain in upper middle abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Headache maybe unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chapped lips — Feeling: Good

Free text: Extremely chapped lips not Norma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Concern I didnt get the real vaccine because my arm didnt even hurt. No symptoms of the second one my arm didnt even hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair

Free text: Weird pain in left side of neck and shoulder. Doesnt feel like muscle feels like vein pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Ovarian failure — 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, Emergency room or emergency department visit

Free text: Got diagnosed with ovarian failure

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): cold nose, shoulder pain in opposite arm that is moderate compared to rest of pain. No reason for left shoulder pain.

2021-03-27

Systemic reaction (other): Mild headache

2021-03-29

Systemic reaction (other): Light tan colored poop Ive had it since the day after vaccination but now its starting to concern me. But its not like its white or chalk so hopefully it will go away soon.

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Weird pain in upper middle abdomen

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Headache maybe unrelated

2021-04-16

Systemic reaction (other): Extremely chapped lips not Norma

2021-04-19

Systemic reaction (other): Concern I didnt get the real vaccine because my arm didnt even hurt. No symptoms of the second one my arm didnt even hurt

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Weird pain in left side of neck and shoulder. Doesnt feel like muscle feels like vein pain.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Heart palpitations

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Got diagnosed with ovarian failure

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	Arthralgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Ovarian failure	·	·	✓
SD	Palpitations	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chapped lips	✓	✓	✓
SRO	Faeces pale	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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