4N6-30050-93053

4 vaccinations 15 coded responses 33 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 641 / MO
Registered: 2021-01-17

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

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-17
Registered in v-safe
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have C.A.D.A.S.I.L., a neurological disorder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have C.A.D.A.S.I.L.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have C.A.D.A.S.I.L. (neurological)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: CADASIL — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: C.A.D.A.S.I.L. (neurological condition)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-12
Survey response — day 7, dose 2
MedDRA: Pain in jaw — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to work

Free text: Persistent headache. I am seeking medical attention. It's getting worse instead of better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 21, dose 2
MedDRA: Headache, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had an intermittent headache since my second vaccine. I had an MRI of the brain as a result. · Healthcare visit (other): In person visits; MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Persistent headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 35, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have had neurological and gynecological effects that appear to be the result of the second vaccine. I am hoping reporting this to you will be factored in as you research.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — 3 months, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Call 1 — Requested Callback
2021-08-04
Call 2 — Could Not Reach Participant
2021-08-04
Callback requested for
09:00AM ET
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
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
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-10-05
Survey response — day 7, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulty getting a deep breath

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

Adult check-in
2021-10-19
Survey response — day 21, dose 3
MedDRA: Fatigue, Pain, Pain in extremity, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Body aches, felt feverish, leg pain, extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Fatigue, Headache, Myalgia, Rhinorrhoea — Feeling: Fair · 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: Diarrhea; Twinges of pain in my head; Fatigue; Muscle aches; Nasal drainage

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 months, dose 3
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)
2021-12-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-03
Dose 4 — Pfizer-BioNTech
2022-04-15
Survey response — day 7, dose 4
MedDRA: Diarrhoea, Headache — Feeling: Fair · Fatigue or tiredness

Free text: Diarrhea earlier in the week and some twinges in my head.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-03
Survey response — 6 months, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: GI disturbance

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-03	Pfizer-BioNTech	No

Call center

4 call center cases

2 successful · 2 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): I have C.A.D.A.S.I.L., a neurological disorder.

2021-01-18

Systemic reaction (other): I have C.A.D.A.S.I.L.

2021-01-19

Systemic reaction (other): I have C.A.D.A.S.I.L. (neurological)

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): C.A.D.A.S.I.L. (neurological condition)

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Jaw pain

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Persistent headache. I am seeking medical attention. It's getting worse instead of better.

Release 4 — day 21, dose 2

2021-02-26

Symptoms: I have had an intermittent headache since my second vaccine. I had an MRI of the brain as a result.

Healthcare visit (other): In person visits; MRI

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Persistent headache

Release 5 — day 35, dose 2

2021-03-12

Symptoms: I have had neurological and gynecological effects that appear to be the result of the second vaccine. I am hoping reporting this to you will be factored in as you research.

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Light headed

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Difficulty getting a deep breath

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Body aches, felt feverish, leg pain, extreme fatigue

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Diarrhea; Twinges of pain in my head; Fatigue; Muscle aches; Nasal drainage

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): Diarrhea earlier in the week and some twinges in my head.

Release 12 — 6 months, dose 4

2022-10-03

Symptoms: GI disturbance

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	Adverse reaction	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	CADASIL	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Headache	·	·	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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