4KM-11576-69749

5 vaccinations 14 coded responses 60 check-ins 13 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 220 / VA
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Oddly muscle spasms in my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Eye swelling, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im sure seasonal allergies thoughnasal congestion sore throat swollen eyes fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 2
MedDRA: Pre-existing disease, Sciatica — 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: Flair up of sciatica which I assume is not related to COVID or vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seasonal - Pollen allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Fatigue, Laryngitis, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Laryngitis Sore Throat Fever Exhaustion

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 3 — Left Voicemail
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Joint swelling, Peripheral swelling — Feeling: Good · Fatigue or tiredness

Free text: Swelling in feet/ankles

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

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
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Chills, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold-like symptoms: sinus congestion chills sore throat headache fatigue - COVID-19/Flu test scheduled for tomorrow am

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Dose 4 — Pfizer-BioNTech
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Chills

Adult check-in
2022-04-10
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-17
Survey response — day 14, dose 4
MedDRA: Flushing, Mobility decreased, Muscular weakness — Feeling: Good · Be unable to work or attend school

Free text: Don't know if vaccine relatedflushed weak in legs after very little non strenuous activity needed rest breaks

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 21, dose 4
MedDRA: Medical observation, Nervous system disorder, Paraesthesia, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Neurological symptoms (tingling right side of face, right arm and hand/fingers) with overnight observation hospital stay and tests to evaluate for possible TIA (past history)

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Survey response — day 35, dose 4
MedDRA: Emergency care, Medical observation, Neurological symptom — Feeling: Good · Be unable to work or attend school

Free text: Just a continuation of neurological symptoms and will see my neurologist tomorrow May 9. (Follow-up to overnight observation after ER visit 4/21-22.) Do not think related to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-03
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 · Telehealth, virtual health, or email health consultation

Free text: COVID-19 positive 6/15/2022

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-28
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling · Abdominal pain

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Survey response — day 35, dose 5
MedDRA: Asthma, Dyspnoea, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increased breathing difficulty (asthma) and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: UTI (kidney) · Healthcare visit (other): In person medical visit & lab test

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-29
Call 3 — Could Not Reach Participant
2022-12-29
Call X — Could Not Reach Participant
2022-12-29
Call 3 — Could Not Reach Participant
2023-01-04
Call 1 — Could Not Reach Participant
2023-01-04
Call 1 — Could Not Reach Participant
2023-01-04
Call 1 — Could Not Reach Participant
2023-03-29
Survey response — 6 months, dose 5
MedDRA: Erosive oesophagitis, Oesophageal haemorrhage, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-29
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-30
Call 2 — Left Voicemail
2023-03-30
Call 2 — Left Voicemail
2023-03-30
Call 2 — Left Voicemail
2023-03-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-04-03	Pfizer-BioNTech	No
5	2022-09-28	Pfizer-BioNTech	Flu

Call center

6 call center cases

2 successful · 4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Oddly muscle spasms in my legs

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Im sure seasonal allergies thoughnasal congestion sore throat swollen eyes fatigue

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Flair up of sciatica which I assume is not related to COVID or vaccine

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Seasonal - Pollen allergies

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Laryngitis Sore Throat Fever Exhaustion

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Swelling in feet/ankles

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Cold-like symptoms: sinus congestion chills sore throat headache fatigue - COVID-19/Flu test scheduled for tomorrow am

Release 11 — day 14, dose 4

2022-04-17

Symptoms: Don't know if vaccine relatedflushed weak in legs after very little non strenuous activity needed rest breaks

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Neurological symptoms (tingling right side of face, right arm and hand/fingers) with overnight observation hospital stay and tests to evaluate for possible TIA (past history)

Release 11 — day 35, dose 4

2022-05-08

Symptoms: Just a continuation of neurological symptoms and will see my neurologist tomorrow May 9. (Follow-up to overnight observation after ER visit 4/21-22.) Do not think related to vaccine.

Release 12 — 3 months, dose 4

2022-07-03

Symptoms: COVID-19 positive 6/15/2022

Release 12 — day 35, dose 5

2022-11-02

Symptoms: Increased breathing difficulty (asthma) and fatigue

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: UTI (kidney)

Healthcare visit (other): In person medical visit & lab test

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	·	·	✓
SD	Asthma	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Erosive oesophagitis	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	·	·	✓
SD	Headache	·	·	✓
SD	Laryngitis	·	·	✓
SD	Medical observation	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Oesophageal haemorrhage	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sciatica	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Peripheral swelling	·	·	✓

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