4UZ-32010-14028

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-06-15

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-14
Dose 1 — Pfizer-BioNTech
2021-06-15
Registered in v-safe
2021-06-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Feeling cold, Headache, Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left arm sore, all the way to my fingers. Received shot in my left deltoid muscle. The headache is more of a generalized headache. Started getting the chills around 1230pm. I put my air-conditioning to 80 degrees and still feel cold. My appetite is l

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-06-22
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-05
Dose 2 — Pfizer-BioNTech
2021-07-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Been having some issues with loose stool for 3 days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-01-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal and chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Small bruise at injection site, left deltoid.

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-19
Survey response — day 14, dose 3
MedDRA: Bone pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bodily aches and pain, deep down to my bones.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 3 months, dose 3
MedDRA: Ageusia, Anosmia, Diarrhoea, Illness, Malaise, Pyrexia, SARS-CoV-2 test positive — 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: I tested positive for Covid. Lost sense of smell and taste. Had a fever and diarrhea towards the end for several days. I was sick for over 8 or9 days. · Healthcare visit (other): I wanted medication for my illness but I was told nothing was available. Yet they have enough commercials on TV for treatment.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
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

1 call case(s)
2022-05-02
Call 1 — Could Not Reach Participant
2022-05-05
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-14	Pfizer-BioNTech
2	2021-07-05	Pfizer-BioNTech	No
3	2022-01-03	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-15

Systemic reaction (other): Left arm sore, all the way to my fingers. Received shot in my left deltoid muscle. The headache is more of a generalized headache. Started getting the chills around 1230pm. I put my air-conditioning to 80 degrees and still feel cold. My appetite is l cut off by CDC

2021-06-16

Systemic reaction (other): Lack of appetite

Release 9 — day 35, dose 2

2021-08-09

Symptoms: Been having some issues with loose stool for 3 days.

Release 10 — days 1–6 daily, dose 3

2022-01-04

Systemic reaction (other): Nasal and chest congestion

2022-01-08

Systemic reaction (other): Small bruise at injection site, left deltoid.

Release 10 — day 14, dose 3

2022-01-19

Symptoms: Bodily aches and pain, deep down to my bones.

Release 11 — 3 months, dose 3

2022-04-06

Symptoms: I tested positive for Covid. Lost sense of smell and taste. Had a fever and diarrhea towards the end for several days. I was sick for over 8 or9 days.

Healthcare visit (other): I wanted medication for my illness but I was told nothing was available. Yet they have enough commercials on TV for treatment.

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	Illness	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Bone pain	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓

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