4NM-10496-45345

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 922 / CA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Survey response — day 21, dose 1
MedDRA: Blood glucose increased, Fall, Nervousness, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tripped on something on rug and fell down. Hurt legs, feet arms, hands and rest of body. Very nervous. Blood sugar abit high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerve fwiches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — day 14, dose 2
MedDRA: Fatigue, Nervousness, Pain, Tremor — Feeling: Poor · Be unable to do your normal daily activities

Free text: Aches shaky tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 28, dose 2
MedDRA: Asthenia, Chills, Feeling hot, Mobility decreased, Tremor, Unevaluable event — 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

Free text: Symptoms: Arm heat chills shake things falls out out of hands · Healthcare visit (other): Many emails

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — day 35, dose 2
MedDRA: Insomnia, Nightmare, Pyrexia, Secretion discharge, Upper-airway cough syndrome — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever went up. Throat got mucus. Post nasal drip. Feel high call over. Can slept. Scared dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Survey response — 3 months, dose 2
MedDRA: Hospitalisation, Ketoacidosis — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Got keto acidosis and was in hospital for two weeks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-13
Call 1 — Could Not Reach Participant
2021-08-18
Call 2 — Left Voicemail
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Fall, Gait disturbance, Hypertension, Skin discolouration — 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 · Telehealth, virtual health, or email health consultation

Free text: Someone left something in the way on the floor and I tripped and fell. Then I got a big black and blue mark on my left chest area and left side. Still wobbly on my feet and blood pressure is still high

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 6 months, dose 2
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)
2021-11-01
Call 1 — Could Not Reach Participant
2021-11-04
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Light headache

Release 8 — day 21, dose 1

2021-04-30

Symptoms: Tripped on something on rug and fell down. Hurt legs, feet arms, hands and rest of body. Very nervous. Blood sugar abit high

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Nerve fwiches

Release 8 — day 14, dose 2

2021-05-16

Symptoms: Aches shaky tired

Release 8 — day 28, dose 2

2021-05-31

Symptoms: Arm heat chills shake things falls out out of hands

Healthcare visit (other): Many emails

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Fever went up. Throat got mucus. Post nasal drip. Feel high call over. Can slept. Scared dreams

Release 9 — 3 months, dose 2

2021-08-01

Symptoms: Got keto acidosis and was in hospital for two weeks

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Someone left something in the way on the floor and I tripped and fell. Then I got a big black and blue mark on my left chest area and left side. Still wobbly on my feet and blood pressure is still high

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	Balance disorder	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Hypertension	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Ketoacidosis	✓	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Nightmare	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Skin discolouration	·	·	✓
SD	Tremor	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓

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