4KH-10692-33233

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 023 / MA
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 1
Feeling: Poor · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness

Free text: Malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-13
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort, Diplopia, Lymphadenopathy, Medical counselling, Nausea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have enlarged tender lymph nodes in my right armpit since shot. Getting better now. I had a serious double peripheral left eye vision that lasted just a few minutes the afternoon after the morning shot. Nausea, upset stomach this week. · Healthcare visit (other): Called ophthalmologist on call about double vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Asthenia, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Weakness and physical exhaustion with no reasonGetting headaches in lower forehead quick onset and dont last too long

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 35, dose 2
MedDRA: Fatigue, Hyperhidrosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sweating, exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 42, dose 2
MedDRA: Asthenia, Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Foggy brain, headaches, fatigue, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — 3 months, dose 2
MedDRA: Cataract operation, Keratitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen corneas after eye cataract surgery. · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Anxiety — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Anxiety

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Malaise

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): I have enlarged tender lymph nodes in my right armpit since shot. Getting better now. I had a serious double peripheral left eye vision that lasted just a few minutes the afternoon after the morning shot. Nausea, upset stomach this week.

Healthcare visit (other): Called ophthalmologist on call about double vision

Release 4 — day 14, dose 2

2021-02-20

Symptoms: Upset stomach

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Weakness and physical exhaustion with no reasonGetting headaches in lower forehead quick onset and dont last too long

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Sweating, exhausted

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Foggy brain, headaches, fatigue, weakness

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Swollen corneas after eye cataract surgery.

Healthcare visit (other): Doctor visit

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Anxiety

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Anxiety	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Cataract operation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Keratitis	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Diplopia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓

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