4JY-30839-78781

4 vaccinations 14 coded responses 32 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 907 / CA
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These symptoms are from 4/09/ thru 4/12

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just really tired some days not able to do daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling foggy in my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Disturbance in attention, Feeling abnormal — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling foggy can't concentrate feeling confused

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still felling confused

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still feeling cloudy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — day 7, dose 2
MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Really intense muscle cramps during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 14, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: I'm still having muscle pain .

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

Adult check-in
2021-05-30
Survey response — day 28, dose 2
MedDRA: Back pain, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches in back and legs feels like tearing and pulling pain .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Headache, Myalgia — Feeling: Good

Free text: Same headaches and muscles in back feeling like there being shredded not new and farther and few in between !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Dose 3 — Pfizer-BioNTech
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-18
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-06
Survey response — day 21, dose 4
MedDRA: Malaise, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was sick for a week running low fever and sick to my stomach but today im good no covid i tested at home

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-15
Survey response — 3 months, dose 4
MedDRA: COVID-19 — 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

MedDRA releases: 2024-11
2023-01-15
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2022-01-27	Pfizer-BioNTech	No
4	2022-10-16	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): These symptoms are from 4/09/ thru 4/12

2021-04-13

Systemic reaction (other): Dizzy

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Just really tired some days not able to do daily activities

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Feeling foggy in my head

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Feeling foggy can't concentrate feeling confused

2021-05-03

Systemic reaction (other): Still felling confused

2021-05-04

Systemic reaction (other): Still feeling cloudy headed

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Really intense muscle cramps during the night

Release 8 — day 14, dose 2

2021-05-14

Symptoms: I'm still having muscle pain .

Release 8 — day 28, dose 2

2021-05-30

Symptoms: Muscle aches in back and legs feels like tearing and pulling pain .

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Same headaches and muscles in back feeling like there being shredded not new and farther and few in between !

Release 12 — days 1–6 daily, dose 4

2022-10-18

Systemic reaction (other): Brain fog

Release 12 — day 21, dose 4

2022-11-06

Symptoms: I was sick for a week running low fever and sick to my stomach but today im good no covid i tested at home

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	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Brain fog	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	○	✓	○

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