4WE-20905-26358

5 vaccinations 18 coded responses 33 check-ins 17 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 337 / FL
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Raid heart rate over 100

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feeling lousy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 7, dose 1
MedDRA: Asthenia — Feeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Neck hurts badly · Healthcare visit (other): None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Headache. Fever of 103.9 last night. Profuse sweating and then chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Overall weakness today that disappeared after lunch. Still fatigued though probably from MS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Gastric disorder, Ulcer — 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 · Emergency room or emergency department visit

Free text: Ulcers and syptoms with gastric issues

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 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)
2021-09-01
Call successful
Does not wish to fill out VAERS report
2021-09-01
Call successful
Does not wish to fill out VAERS report
2021-09-10
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — day 21, dose 3
MedDRA: Dyspepsia, Vitreous floaters — Feeling: Good · Be unable to do your normal daily activities

Free text: Massive eye floaters, gastric distress

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 28, dose 3
MedDRA: Muscle spasms, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Overall pain, muscle cramps

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Survey response — day 42, dose 3
MedDRA: Fatigue, Gastrointestinal disorder, Headache, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Many stomach issues, pain, aching all over. Headaches. Extreme fatigue · Healthcare visit (other): doctors

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-12-12
Survey response — 3 months, dose 3
MedDRA: Benign hepatic neoplasm, Benign renal neoplasm — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Benign large liver and kidney tumors.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-13
Call successful
Does not wish to fill out VAERS report
2021-12-13
Call successful
Does not wish to fill out VAERS report
2022-03-09
Dose 4 — Pfizer-BioNTech
2022-03-11
Survey response — 6 months, dose 3
MedDRA: Hepatic neoplasm, Pre-existing disease, Renal neoplasm — Feeling: Fair

Free text: Tumors on my liver and kidneys. Polycystic disease.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Dose 5 — Pfizer-BioNTech
2022-09-10
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in
2022-09-10
Survey response — days 1–6 daily, dose 5
MedDRA: Malaise — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: malaise

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Survey response — days 1–6 daily, dose 5
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: migraine

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-14
Survey response — day 35, dose 5
MedDRA: Abdominal pain upper — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Terrible stomach pain on lower right side. It's been going on more than four weeks. MRI shows nothing wrong. Sharp and painful. Thinking it could be vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 42, dose 5
MedDRA: Abdominal pain upper — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Back pain, Gastrointestinal disorder, Muscle spasms, Myalgia, Nausea, Neck pain, Office visit, Pain, Pain in jaw — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach issues. Pain and cramping. Nausea. Doctors can't find out why. Neck pain upper back pain. Sharp between the shoulder blades. Jaw pain. · Healthcare visit (other): doctor's appointment

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-14
Call 1 — Left Voicemail
2022-12-14
Call successful
Does not wish to fill out VAERS report
2023-03-10
Survey response — 6 months, dose 5
MedDRA: Adverse reaction, Dyspnoea, Influenza like illness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-09-10	Pfizer-BioNTech	No
4	2022-03-09	Pfizer-BioNTech	No
5	2022-09-09	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Raid heart rate over 100

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Feeling lousy

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Weak

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Neck hurts badly

Healthcare visit (other): None

2021-02-27

Systemic reaction (other): Headache. Fever of 103.9 last night. Profuse sweating and then chills

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Overall weakness today that disappeared after lunch. Still fatigued though probably from MS

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Ulcers and syptoms with gastric issues

Release 9 — day 21, dose 3

2021-10-01

Symptoms: Massive eye floaters, gastric distress

Release 10 — day 28, dose 3

2021-10-08

Symptoms: Overall pain, muscle cramps

Release 10 — day 42, dose 3

2021-10-22

Symptoms: Many stomach issues, pain, aching all over. Headaches. Extreme fatigue

Healthcare visit (other): doctors

Release 10 — 3 months, dose 3

2021-12-12

Symptoms: Benign large liver and kidney tumors.

Release 11 — 6 months, dose 3

2022-03-11

Symptoms: Tumors on my liver and kidneys. Polycystic disease.

Release 12 — days 1–6 daily, dose 5

2022-09-10

Systemic reaction (other): malaise

2022-09-11

Systemic reaction (other): migraine

Release 12 — day 35, dose 5

2022-10-14

Symptoms: Terrible stomach pain on lower right side. It's been going on more than four weeks. MRI shows nothing wrong. Sharp and painful. Thinking it could be vaccine.

Release 12 — day 42, dose 5

2022-10-21

Symptoms: Stomach pain

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Stomach issues. Pain and cramping. Nausea. Doctors can't find out why. Neck pain upper back pain. Sharp between the shoulder blades. Jaw pain.

Healthcare visit (other): doctor's appointment

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	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Benign hepatic neoplasm	·	·	✓
SD	Benign renal neoplasm	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Hepatic neoplasm	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Renal neoplasm	·	·	✓
SD	Ulcer	✓	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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