4SQ-16293-44612

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-02-24

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

2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-24
Registered in v-safe
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Some nausea for 24 hours following vaccine #1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Atrial fibrillation, Vertigo — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Free text: Afib & vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site induration, Pain in extremity — Feeling: Fair · 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: Covid arm at 9 days. Arm aching & itching & hard lump at site. Today 14 days arm still aches but not read anymore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
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)
2021-03-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The severe symptoms came on late last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Nausea

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

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Survey response — day 28, dose 2
MedDRA: Psoriasis — Feeling: Fair

Free text: Psoriasis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Survey response — day 42, dose 2
MedDRA: Bladder pain, Parotid duct obstruction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blocked Parotid glandBladder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Salivary gland disorder — Feeling: Fair · 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: Blocked salivary gland & flare-up of interstitial cystitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Brief resolved unexplained event, Emergency care, Heart rate increased, Hospitalisation, Immunisation reaction, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Life threatening reaction to booster 3-1/2 hours after on 2/22/22. In hospital 3 days. Needed paramedics. Hospital swab tested positive covid 4-5 5 hours after booster. No symptoms or fever ever only accelerated heart rate weeks previous & after.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Some nausea for 24 hours following vaccine #1

2021-02-25

Systemic reaction (other): Afib & vertigo

Release 5 — day 14, dose 1

2021-03-06

Symptoms: Covid arm at 9 days. Arm aching & itching & hard lump at site. Today 14 days arm still aches but not read anymore.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): The severe symptoms came on late last night.

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Psoriasis

Release 8 — day 42, dose 2

2021-05-01

Symptoms: Blocked Parotid glandBladder pain

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Blocked salivary gland & flare-up of interstitial cystitis.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Life threatening reaction to booster 3-1/2 hours after on 2/22/22. In hospital 3 days. Needed paramedics. Hospital swab tested positive covid 4-5 5 hours after booster. No symptoms or fever ever only accelerated heart rate weeks previous & after.

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	Bladder pain	✓	✓	✓
SD	Brief resolved unexplained event	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Parotid duct obstruction	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Salivary gland disorder	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Atrial fibrillation	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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