4GR-38252-76868

4 vaccinations 10 coded responses 47 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 221 / VA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperacusis, Tinnitus — Feeling: Good · Headache

Free text: Increased volume to tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Poor · Headache

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Headache, Migraine, Sensitivity to weather change, Unevaluable event — Feeling: Fair

Free text: Increasing in weather related migraines... I do not think theyre vaccination related headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-07
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Fatigue, Feeling of body temperature change, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, shakes, feeling hot or cold, and fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Appendicectomy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: April 12, 2021 I had an emergency appendectomy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — 3 months, 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)
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: two days ago I had fatigue and body aches that went away with rest and tylenol

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Survey response — day 28, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: I went to visit my son in Colorado and have a migraine every day. I do not think it's vaccine related but due to high altitude

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increase in migraines and epigastric pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Gastric polypectomy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach polyp removal

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-26
Dose 4 — Pfizer-BioNTech
2022-05-26
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-06-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-12
Survey response — day 42, dose 4
MedDRA: Lacrimation increased, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head cold - very runny nose and eyes

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Survey response — 3 months, dose 4
MedDRA: COVID-19, Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got CoVid July 3, 2022 and am sick now, but not with Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-05-26	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Increased volume to tinnitus

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Increasing in weather related migraines... I do not think theyre vaccination related headaches

Release 5 — day 28, dose 2

2021-03-07

Symptoms: Diarrhea, shakes, feeling hot or cold, and fatigued

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: April 12, 2021 I had an emergency appendectomy.

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: two days ago I had fatigue and body aches that went away with rest and tylenol

Release 10 — day 28, dose 3

2021-11-01

Symptoms: I went to visit my son in Colorado and have a migraine every day. I do not think it's vaccine related but due to high altitude

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Increase in migraines and epigastric pain

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Stomach polyp removal

Release 12 — day 42, dose 4

2022-07-12

Symptoms: Head cold - very runny nose and eyes

Release 12 — 3 months, dose 4

2022-08-25

Symptoms: I got CoVid July 3, 2022 and am sick now, but not with Covid

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	Abdominal pain upper	·	·	✓
SD	Appendicectomy	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Gastric polypectomy	·	·	✓
SD	Headache	✓	·	✓
SD	Lacrimation increased	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	✓	·	✓
SD	Sensitivity to weather change	✓	·	✓
SD	Tremor	✓	✓	✓
SD	Unevaluable event	○	✓	○
SRO	Hyperacusis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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