4L6-38974-08488

5 vaccinations 11 coded responses 32 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 493 / MI
Registered: 2021-03-13

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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have Fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Bladder pain, Fatigue, Fibromyalgia, Headache, 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: Extreme fatigue, bladder pain, moderate headache. I'm not sure if it's just Fibromyalgia . However, thee fatigue has been more than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed/dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have Fibromyalgia, so....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Fibromyalgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: I have Fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, headache, congestion, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2022-03-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 4 — Pfizer-BioNTech
2022-10-11
Dose 5 — Pfizer-BioNTech
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-01
Survey response — day 21, dose 5
MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy, headache, nausea (motion sick-like)

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — day 28, dose 5
MedDRA: Asthenia, Dizziness, Motion sickness, Nausea — Feeling: Poor · Be unable to work or attend school, 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: Motion sickness feeling: dizzy, nauseated, weak.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — day 28, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-09
Call 1 — Left Voicemail
2022-11-15
Survey response — day 35, dose 5
MedDRA: Asthenia, Dizziness, Motion sickness, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Dizzy, weak, nausea (motion sick like symptoms) going from intermittent to pretty constant

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-11
Survey response — 6 months, dose 5
MedDRA: COVID-19, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-11
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No
4	2022-04-25	Pfizer-BioNTech	No
5	2022-10-11	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): I have Fibromyalgia.

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Extreme fatigue, bladder pain, moderate headache. I'm not sure if it's just Fibromyalgia . However, thee fatigue has been more than usual.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Light headed/dizzy

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I have Fibromyalgia, so....

2021-04-07

Systemic reaction (other): I have Fibromyalgia

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): I have Fibromyalgia.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Sore throat, headache, congestion, dizzy

Release 12 — day 21, dose 5

2022-11-01

Symptoms: Dizzy, headache, nausea (motion sick-like)

Release 12 — day 28, dose 5

2022-11-08

Symptoms: Motion sickness feeling: dizzy, nauseated, weak.

Release 12 — day 35, dose 5

2022-11-15

Symptoms: Dizzy, weak, nausea (motion sick like symptoms) going from intermittent to pretty constant

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	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Bladder pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	○	✓	○
SD	Headache	✓	✓	✓
SD	Motion sickness	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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