4MW-13811-40119

5 vaccinations 5 coded responses 34 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 828 / WY
Registered: 2021-02-19

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Eye irritation, Oropharyngeal pain, Sneezing, Upper-airway cough syndrome — Feeling: Fair

Free text: Sneezing, drippy nose, slightly sore throat, burning eyes - most likely allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Cardiac murmur — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart murmur - found at a wellness check up. It hasnt interrupted my routine but, because it is new, the doctor is checking it out. I have no reason to believe it is associated with COVID-19 or the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Could Not Reach Participant
2021-09-07
Call 2 — Could Not Reach Participant
2021-09-18
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 7, dose 3
MedDRA: Body temperature increased — Feeling: Good · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild fever - about 100 degrees

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-09
Survey response — day 21, dose 3
MedDRA: Eye irritation, Nasopharyngitis, Pain in extremity, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Cold or Allergies - sneezing, drippy nose, burning eyes Sore arm - may be from bulging disc (ongoing issues)

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 42, dose 3
MedDRA: Diarrhoea, Headache, Pain in extremity — Feeling: Fair

Free text: Not likely vaccine related. Headache. Sore left arm (periodic), loose stools

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-08
Dose 5 — Moderna
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-09-18	Pfizer-BioNTech	No
4	2022-04-01	Moderna	No
5	2022-09-08	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Sneezing, drippy nose, slightly sore throat, burning eyes - most likely allergies

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Heart murmur - found at a wellness check up. It hasnt interrupted my routine but, because it is new, the doctor is checking it out. I have no reason to believe it is associated with COVID-19 or the vaccine.

Release 9 — day 7, dose 3

2021-09-30

Systemic reaction (other): Mild fever - about 100 degrees

Release 10 — day 21, dose 3

2021-10-09

Symptoms: Cold or Allergies - sneezing, drippy nose, burning eyes Sore arm - may be from bulging disc (ongoing issues)

Release 10 — day 42, dose 3

2021-10-31

Symptoms: Not likely vaccine related. Headache. Sore left arm (periodic), loose stools

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	Cardiac murmur	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Eye irritation	✓	✓	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Body temperature increased	·	·	✓

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