4WJ-14083-99659

4 vaccinations 7 coded responses 31 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 902 / CA
Registered: 2021-03-19

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

2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, 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 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Discomfort — Feeling: Good · Be unable to do your normal daily activities

Free text: Feeling like i'm trying to function surrounded by quick sand

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

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Hospitalisation, Rash, SARS-CoV-2 test positive, Staphylococcal infection — Feeling: Fair · 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: Staff infection. Rash on lower right leg. Was hospitalized,but was discharged on 5/9. New covid-19 positive test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 35, dose 2
MedDRA: Cellulitis, Drug hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergic reaction to cefuroxine taken for cellulitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Anxiety, Depression, Dysphagia, Eye infection, Eye pain, Gastrointestinal disorder, Inflammation — Feeling: Poor · Be unable to work or attend school

Free text: Inflamation all over, digestive issues, depression and anxiety, trouble swallowing sometimes, eye infections and soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
2022-02-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-13
Survey response — 12 months, dose 2
MedDRA: Neuropathy peripheral, Respiratory disorder — Feeling: Fair

Free text: Some continuing breathing issues. Facial neuropathy.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 35, dose 4
MedDRA: Temporomandibular pain and dysfunction syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have severe TMJ now

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Feeling like i'm trying to function surrounded by quick sand

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Sore throat

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Staff infection. Rash on lower right leg. Was hospitalized,but was discharged on 5/9. New covid-19 positive test.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Allergic reaction to cefuroxine taken for cellulitus

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Inflamation all over, digestive issues, depression and anxiety, trouble swallowing sometimes, eye infections and soreness

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Some continuing breathing issues. Facial neuropathy.

Release 11 — day 35, dose 4

2022-05-06

Symptoms: I have severe TMJ now

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	Anxiety	✓	✓	✓
SD	Cellulitis	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Drug hypersensitivity	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Eye infection	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Neuropathy peripheral	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Staphylococcal infection	✓	✓	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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