4QV-32953-57408

4 vaccinations 8 coded responses 52 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Productive cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing/phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Pfizer-BioNTech
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-12-10
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild to moderate gastrointestinal issues/diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 35, dose 3
MedDRA: Chills, Fatigue, Headache, Muscular weakness, SARS-CoV-2 test, SARS-CoV-2 test negative — 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

Free text: Symptoms: Chills, headaches, muscle weakness, fatigue · Healthcare visit (other): Took at-home antigen tests and one negative, one inconclusive...scheduled a Covid test for Sunday or Monday at 24-hr urgent care

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-06
Call 1 — Left Voicemail
2022-01-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 0, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Influenza like illness, Malaise, Nasopharyngitis — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I became sick with a cold and flu-like sxs

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — day 7, dose 4
MedDRA: Dyspnoea, Ear infection, Ear pain, Influenza virus test negative, Nasopharyngitis, Pneumonia, SARS-CoV-2 test negative — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Pain in ear, cold sxs, difficulty breathing · Healthcare visit (other): Dx'd With ear infection and lung,, tested neg for Covid/influenza

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-04-29
Survey response — day 14, dose 4
MedDRA: Dyspnoea, Influenza virus test negative, Office visit, Oxygen saturation decreased, Pneumonia, Pyrexia, SARS-CoV-2 test negative, Telemedicine — Feeling: Poor · 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: Symptoms: Urgent care dx'd pneumonia one week ago SOB, low O2 SATS 89-90, fever; prescribed RX, Dexa shot, breathing tx; tested Neg for COVID & Influenza · Healthcare visit (other): Telehealth with Primary MD after weekend

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — day 14, dose 4
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)
2022-05-02
Call 1 — Left Voicemail
2022-05-06
Survey response — day 21, dose 4
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-13
Survey response — day 28, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Excessive fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-11-26	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Coughing/phlegm

Release 10 — day 14, dose 3

2021-12-10

Symptoms: Mild to moderate gastrointestinal issues/diarrhea

Release 10 — day 35, dose 3

2021-12-31

Symptoms: Chills, headaches, muscle weakness, fatigue

Healthcare visit (other): Took at-home antigen tests and one negative, one inconclusive...scheduled a Covid test for Sunday or Monday at 24-hr urgent care

Release 11 — days 1–6 daily, dose 4

2022-04-21

Systemic reaction (other): I became sick with a cold and flu-like sxs

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): Pain in ear, cold sxs, difficulty breathing

Healthcare visit (other): Dx'd With ear infection and lung,, tested neg for Covid/influenza

Release 11 — day 14, dose 4

2022-04-29

Symptoms: Urgent care dx'd pneumonia one week ago SOB, low O2 SATS 89-90, fever; prescribed RX, Dexa shot, breathing tx; tested Neg for COVID & Influenza

Healthcare visit (other): Telehealth with Primary MD after weekend

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Sinus infection

Release 11 — day 28, dose 4

2022-05-13

Symptoms: Excessive fatigue

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	Ear infection	·	·	✓
HCVO	Influenza virus test negative	·	·	✓
HCVO	Pneumonia	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Influenza like illness	·	·	✓
SRO	Malaise	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Productive cough	✓	✓	✓

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