4VP-14038-26515

4 vaccinations 14 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 217 / MD
Registered: 2021-01-10

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

2021-01-09
Dose 1 — Pfizer-BioNTech
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Headache, Injection site pain, Pre-existing disease, Tenderness — Feeling: Good · Site: Pain · Headache

Free text: I often have mild headaches due to stress and eye strain. Pain at injection site only if I touch the site. Full range of motion of the arm does not elicit pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Self-medication — Feeling: Good · Headache

Free text: Headache continues and is different than my stress headache. Bothersome enough to take Tylenol at bedtime. Otherwise I try to ignore it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Pfizer-BioNTech
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Malaise — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Some indigestion. Malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Nausea

Free text: I woke up much improved. The feverish/chilled feeling was not severe enough for me to consider taking my temperature.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 35, dose 2
MedDRA: Dry eye, Eye pruritus, Hypersensitivity, Upper-airway cough syndrome — Feeling: Good

Free text: Spring allergies- post nasal drip with cough and itchy dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Cough, Eye pruritus, Headache, Rhinorrhoea, Seasonal allergy — Feeling: Good

Free text: Spring allergies- dry cough, itchy eyes, runny nose, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Moderna
2022-04-21
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Malaise — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: 1 episode diarrhea. Malaise - mild.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Survey response — day 14, dose 4
MedDRA: Fatigue, Nasal congestion, Pre-existing disease, Rhinorrhoea, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergy symptoms stuffy and runny nose, scratchy throat, post nasal drip and fatigue. I am allergic to oak pollen which is high in my neighborhood last week and currently.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Survey response — day 35, dose 4
MedDRA: Dyspnoea exertional — Feeling: Good

Free text: Mild shortness of breath with minimal activity

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Survey response — 3 months, dose 4
MedDRA: Ear congestion, Ear pain, Nasal congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Significant nasal and right ear congestion. Right ear pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — 6 months, dose 4
MedDRA: Fall, Muscle strain, Pain, Physiotherapy, Road traffic accident — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was rear ended and have right shoulder strain - improving with PT. I slipped and pulled my left hamstring. Super painful and slowly healing.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-24
Call 1 — Left Voicemail
2023-04-25
Survey response — 12 months, dose 4
MedDRA: Adverse reaction, Cough, Eye pruritus, Respiratory tract congestion — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Pfizer-BioNTech
2	2021-01-30	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	Flu
4	2022-04-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): I often have mild headaches due to stress and eye strain. Pain at injection site only if I touch the site. Full range of motion of the arm does not elicit pain.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Headache continues and is different than my stress headache. Bothersome enough to take Tylenol at bedtime. Otherwise I try to ignore it.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Some indigestion. Malaise.

2021-02-01

Systemic reaction (other): I woke up much improved. The feverish/chilled feeling was not severe enough for me to consider taking my temperature.

Release 5 — day 35, dose 2

2021-03-06

Symptoms: Spring allergies- post nasal drip with cough and itchy dry eyes

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Spring allergies- dry cough, itchy eyes, runny nose, headaches

Release 11 — day 0, dose 4

2022-04-21

Systemic reaction (other): No

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Congestion

2022-04-23

Systemic reaction (other): 1 episode diarrhea. Malaise - mild.

Release 11 — day 14, dose 4

2022-05-05

Symptoms: Allergy symptoms stuffy and runny nose, scratchy throat, post nasal drip and fatigue. I am allergic to oak pollen which is high in my neighborhood last week and currently.

Release 11 — day 35, dose 4

2022-05-26

Symptoms: Mild shortness of breath with minimal activity

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Significant nasal and right ear congestion. Right ear pain.

Release 12 — 6 months, dose 4

2022-10-21

Symptoms: I was rear ended and have right shoulder strain - improving with PT. I slipped and pulled my left hamstring. Super painful and slowly healing.

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	Adverse reaction	·	·	✓
SD	Cough	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Ear congestion	·	·	✓
SD	Ear pain	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Muscle strain	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Road traffic accident	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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