4UV-14411-85742

4 vaccinations 6 coded responses 52 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 984 / WA
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Frequent bowel movements — Feeling: Good

Free text: Something I didnt really think about today is that ive been constipated and had much more frequent bowel movements since Monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Flank pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sharp pain on my right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 35, dose 2
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: Skin around vaccination site is itchy & a little red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Chills, Diarrhoea, Headache, Myalgia, Nausea, Pyrexia — Feeling: Good · 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: Slight fever (100.5), chills, muscle/joint pain, headache for 3-4 days with diarrhea & queasy stomach for 4 additional days. Dr said it was a virus and did not advise a COVID test. Symptoms completely cleared after 8 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
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)
2021-07-07
Call 1 — Left Voicemail
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-09
Health check-in — days 1–6 daily, dose 3
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
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-15
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-07
Survey response — 3 months, dose 3
MedDRA: Flatulence, Headache, Insomnia — Feeling: Fair

Free text: Headache, insomnia, gas

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 28, dose 4
MedDRA: Abdominal distension, Abdominal pain, Constipation, Gastrointestinal disorder, Medical counselling, Vomiting — 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

Free text: Symptoms: Gastrointestinal issues-some vomiting, bloating, abdominal pain, constipation. · Healthcare visit (other): 24 hr nurse line

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 28, dose 4
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)
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	Flu
4	2022-09-30	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Something I didnt really think about today is that ive been constipated and had much more frequent bowel movements since Monday

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Sharp pain on my right side

Release 8 — day 35, dose 2

2021-05-08

Symptoms: Skin around vaccination site is itchy & a little red.

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Slight fever (100.5), chills, muscle/joint pain, headache for 3-4 days with diarrhea & queasy stomach for 4 additional days. Dr said it was a virus and did not advise a COVID test. Symptoms completely cleared after 8 days.

Release 10 — 3 months, dose 3

2022-01-07

Symptoms: Headache, insomnia, gas

Release 12 — day 28, dose 4

2022-10-28

Symptoms: Gastrointestinal issues-some vomiting, bloating, abdominal pain, constipation.

Healthcare visit (other): 24 hr nurse line

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	Medical counselling	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Constipation	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Flank pain	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓

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