4WS-24128-33743

1 vaccination 5 coded responses 15 check-ins 5 free-text entries 2 call cases

Sex: —
Age at first dose: 21-25
ZIP prefix: 981 / WA
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Survey response — day 0, dose 1
MedDRA: Anxiety, Chest discomfort, Immediate post-injection reaction, Tension — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea

Free text: Bouts of extreme tension, anxiety, some tightness in the chest in the hour following the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea, Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Free text: Feeling faint/lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 14, dose 1
MedDRA: Anxiety, Diarrhoea, Dizziness, Feeding disorder, Nausea, Temperature regulation disorder, Tension, Tremor — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Past 8 days- Daily nausea, diarrhea, lack of appetite & difficulty eating, shaking & tension, anxiety, occasional bouts of feeling faint, some difficulty with temperature regulation (a little too warm or cold). Made Drs appt but have yet to get ca

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-15
Survey response — day 35, dose 1
MedDRA: Diarrhoea, Dizziness, Eating disorder, Fatigue, Illness, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening nausea, fatigue, faintness, diarrhea, difficulty eating. (became more mild for a spell after a 2-wk period of extreme sickness but has begun worsening considerably again in the past week) · Healthcare visit (other): Visits with primary care doctor; scheduled upcoming visits w specialists

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 42, dose 1
MedDRA: Anxiety, Chest discomfort, Decreased appetite, Diarrhoea, Nausea, Office visit, Syncope, Throat tightness, Tremor, Weight decreased — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ongoing nausea, some spells of faintness, diarrhea, weight loss. Symptoms were extreme (& also included complete loss of appetite, inability to eat, shaking, extreme anxiety, & tightness in throat & chest) &are now more manageable but still fluctuate · Healthcare visit (other): Multiple visits with primary care doctor, visits with heart specialist, visit with an acupuncturist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-10-08
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-04-07
Call 1 — Left Voicemail
2022-04-07
Call 1 — Left Voicemail
2022-04-11
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Bouts of extreme tension, anxiety, some tightness in the chest in the hour following the injection

Release 7 — day 7, dose 1

2021-04-18

Systemic reaction (other): Feeling faint/lightheaded

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Past 8 days- Daily nausea, diarrhea, lack of appetite & difficulty eating, shaking & tension, anxiety, occasional bouts of feeling faint, some difficulty with temperature regulation (a little too warm or cold). Made Drs appt but have yet to get ca

Release 8 — day 35, dose 1

2021-05-15

Symptoms: Worsening nausea, fatigue, faintness, diarrhea, difficulty eating. (became more mild for a spell after a 2-wk period of extreme sickness but has begun worsening considerably again in the past week)

Healthcare visit (other): Visits with primary care doctor; scheduled upcoming visits w specialists

Release 8 — day 42, dose 1

2021-05-24

Symptoms: Ongoing nausea, some spells of faintness, diarrhea, weight loss. Symptoms were extreme (& also included complete loss of appetite, inability to eat, shaking, extreme anxiety, & tightness in throat & chest) &are now more manageable but still fluctuate cut off by CDC

Healthcare visit (other): Multiple visits with primary care doctor, visits with heart specialist, visit with an acupuncturist

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	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Eating disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeding disorder	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Temperature regulation disorder	✓	✓	✓
SD	Tension	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Tension	✓	✓	✓

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