4JC-25530-39049

2 vaccinations 15 coded responses 23 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 681 / NE
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Bloating and gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Burning discomfort in nostrils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Good · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Had to stay home

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site mass, Injection site pain — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore lump & circular bruise on shot spot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Bloated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal Bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Weight decreased — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Bloating. Lost 3 lbs in 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 2
MedDRA: Arthralgia, Asthenia, Back pain, Neck pain, Pain, Pain in extremity — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Neck, back, knees, fingers, wrists hurting.weak · Healthcare visit (other): traveling in the US. Going to ER in the morning if pain not better. Hope I can sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Decreased appetite, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: My stomach upset, discomfort, & nausea that I had with Covid in Jan. have been exacerbated by the vaccine. One day it seems better, the next day its not & I have no appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Bowel movement irregularity, Diarrhoea, Flatulence, Muscle spasms, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: GI upset- excessive flatus, nausea, cramping, sudden need for bowel movement progressing to loose stools. 2-3 days fine then another bad day of this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrendous left back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Chest discomfort, Fatigue, Hypersensitivity, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · 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: New Chest tightness when I breathe. New leg nerve pain intensity. New global joint pain. New unusual environmental allergies. The fatigue is worse than before I had covid & the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
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)
2021-08-13
Call 2 — Left Voicemail
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Gastrointestinal disorder, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent gastric pain & nausea, bowel difficulties · Healthcare visit (other): Office visits, upper GI tests

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
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

1 call case(s)
2021-11-10
Call 2 — Left Voicemail
2022-05-11
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Dyspnoea, Ear neoplasm malignant, Fatigue, Neoplasm malignant, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had covid a second time Dec 25,2021, Monoclonal antibodies infusion received. Covid not as severe. Much less fatigue. New cancer on ear & face. Chronic cough continues. Still get exhausted fast from covid in 01/21,& new altitude SOB in (b)(6) · Healthcare visit (other): In MD office

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Bloating and gas

2021-04-23

Systemic reaction (other): Burning discomfort in nostrils

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Foggy head

2021-05-13

Systemic reaction (other): Had to stay home

2021-05-14

Systemic reaction (other): Sore lump & circular bruise on shot spot

2021-05-15

Systemic reaction (other): Bloated

2021-05-16

Systemic reaction (other): Abdominal Bloating

2021-05-17

Systemic reaction (other): Bloating. Lost 3 lbs in 2 days

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Neck, back, knees, fingers, wrists hurting.weak

Healthcare visit (other): traveling in the US. Going to ER in the morning if pain not better. Hope I can sleep

Release 8 — day 21, dose 2

2021-06-01

Symptoms: My stomach upset, discomfort, & nausea that I had with Covid in Jan. have been exacerbated by the vaccine. One day it seems better, the next day its not & I have no appetite.

Release 9 — day 35, dose 2

2021-06-15

Symptoms: GI upset- excessive flatus, nausea, cramping, sudden need for bowel movement progressing to loose stools. 2-3 days fine then another bad day of this.

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Horrendous left back pain

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: New Chest tightness when I breathe. New leg nerve pain intensity. New global joint pain. New unusual environmental allergies. The fatigue is worse than before I had covid & the vaccine.

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Intermittent gastric pain & nausea, bowel difficulties

Healthcare visit (other): Office visits, upper GI tests

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: Had covid a second time Dec 25,2021, Monoclonal antibodies infusion received. Covid not as severe. Much less fatigue. New cancer on ear & face. Chronic cough continues. Still get exhausted fast from covid in 01/21,& new altitude SOB in (b)(6)

Healthcare visit (other): In MD office

redacted (b)(6)

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	Office visit	·	·	✓
HCVO	Pain	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Bowel movement irregularity	✓	✓	○
SD	Chest discomfort	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear neoplasm malignant	·	·	✓
SD	Fatigue	✓	·	✓
SD	Flatulence	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypersensitivity	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neoplasm malignant	·	·	✓
SD	Neuropathy peripheral	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Weight decreased	✓	✓	✓

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