4XL-24449-12553

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 490 / MI
Registered: 2021-06-10

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

2021-06-09
Dose 1 — Pfizer-BioNTech
2021-06-10
Registered in v-safe
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Minor chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-30
Dose 2 — Pfizer-BioNTech
2021-06-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-07-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-07-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — day 28, dose 2
MedDRA: Haemorrhoids, Lymphadenopathy, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sudden Stage 4 Hemorrhoids and swollen lymph nodes · Healthcare visit (other): Proctologist office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
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)
2021-08-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-14
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Emergency care, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Right side only, mid and lower stomach progressing pains. Went to Urgent Care and ER to make sure was not appendix. Perfectly healthy on all tests, but still experiencing passing pains. Now less severe.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 2 — Left Voicemail
2021-10-01
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Abdominal pain lower, Abscess, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Random sudden passing abdomen pains on my right side. After appx a month moved to lower inner abdomen. No previous gut or medical issues, ever. No explanation from doctors, bloodwork, or CT w/ contrast. Also still dealing with abscess.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · 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)
2021-10-04
Call 2 — Left Voicemail
2022-07-06
Survey response — 12 months, dose 2
MedDRA: Anal abscess, Anal fistula, Fistulotomy, Pain — Feeling: Poor · Be unable to work or attend school, 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: Painful surgery for anal fistula, which started out as an abscess formed within weeks of my 2nd covid shot. Months of recovery and no activity. Was in top perfect health prior to vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-07
Call 1 — Left Voicemail
2022-07-07
Call 1 — Left Voicemail
2022-07-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-09	Pfizer-BioNTech
2	2021-06-30	Pfizer-BioNTech	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-10

Systemic reaction (other): Minor chest pains

Release 9 — day 28, dose 2

2021-07-28

Symptoms: Sudden Stage 4 Hemorrhoids and swollen lymph nodes

Healthcare visit (other): Proctologist office

Release 9 — day 42, dose 2

2021-08-14

Symptoms: Right side only, mid and lower stomach progressing pains. Went to Urgent Care and ER to make sure was not appendix. Perfectly healthy on all tests, but still experiencing passing pains. Now less severe.

Release 9 — 3 months, dose 2

2021-10-01

Symptoms: Random sudden passing abdomen pains on my right side. After appx a month moved to lower inner abdomen. No previous gut or medical issues, ever. No explanation from doctors, bloodwork, or CT w/ contrast. Also still dealing with abscess.

Release 12 — 12 months, dose 2

2022-07-06

Symptoms: Painful surgery for anal fistula, which started out as an abscess formed within weeks of my 2nd covid shot. Months of recovery and no activity. Was in top perfect health prior to vaccination.

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	Abdominal pain	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Abdominal pain upper	✓	·	✓
SD	Abscess	·	·	✓
SD	Anal abscess	·	·	✓
SD	Anal fistula	·	·	✓
SD	Emergency care	✓	·	✓
SD	Fistulotomy	·	·	✓
SD	Haemorrhoids	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Office visit	✓	·	✓
SD	Pain	·	·	✓
SRO	Chest pain	✓	✓	✓

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