4GN-95503-76289

3 vaccinations 10 coded responses 23 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 601 / IL
Registered: 2021-03-19

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and positional tinitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and chills with intermittant headaches. No fever, in fact temp is slightly lower than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Presyncope, Stress — Feeling: Fair

Free text: Had a sympathetic nervous system/vagal response at second vax, probably stress induced as well since more crowded and they were all confused although i had correct appt confirmed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Violent chills and unquenchable thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, 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)
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Bone pain, Medical counselling, Myalgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Systemic reaction (other): SEVERE Ostealgia (long bone pain) in addition to the arthralgia and myalgia · Healthcare visit (other): Public health nurse consult

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Bone pain, Dizziness, Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Return of Long bone pain, abdominal pain, fatigue, and intense dizzing nausea. Has since eased, but lingering fatigue and exaustion after simple tasks or activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Contusion, Fatigue, Sleep disorder — 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: Unexplained bruising, chronic sleep disruptions, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Capillary disorder, Cough, Spider vein — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Persistant cough, spider veins/capillary clusters.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-08
Call 1 — Left Voicemail
2022-03-09
Dose 3 — Pfizer-BioNTech
2022-03-10
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes in neck, side of face and under arm on vax side remain

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-03-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-03-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2022-03-09	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Dizziness and positional tinitus

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Fatigue and chills with intermittant headaches. No fever, in fact temp is slightly lower than normal.

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Had a sympathetic nervous system/vagal response at second vax, probably stress induced as well since more crowded and they were all confused although i had correct appt confirmed.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Violent chills and unquenchable thirst

2021-04-10

Systemic reaction (other): SEVERE Ostealgia (long bone pain) in addition to the arthralgia and myalgia

Healthcare visit (other): Public health nurse consult

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Return of Long bone pain, abdominal pain, fatigue, and intense dizzing nausea. Has since eased, but lingering fatigue and exaustion after simple tasks or activity.

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Unexplained bruising, chronic sleep disruptions, fatigue.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Persistant cough, spider veins/capillary clusters.

Release 11 — days 1–6 daily, dose 3

2022-03-10

Systemic reaction (other): Chest tightness

2022-03-11

Systemic reaction (other): Swollen lymph nodes in neck, side of face and under arm on vax side remain

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 counselling	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Capillary disorder	·	·	✓
SD	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Spider vein	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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