4XL-72933-04598

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 277 / NC
Registered: 2021-03-05

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Chest discomfort, Cough, Epistaxis — Feeling: Poor · Fever · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Nose bleeds, chest tightness, cough, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Epistaxis — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loose stools, nose bleed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Gastroenteritis — Feeling: Good

Free text: Loose stools. I believe my signs and symptoms over the last 3 days may have been gastroenteritis and no vaccine reaction.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Loose stools - most likely gastroenteritis and not from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 1
MedDRA: Anxiety, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I feel like I have too much adrenaline in my body. I have no concerning thoughts but my stomach is anxious and I continue with loose stools. I have a virtual appt with my PCP tomorrow 3/18.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
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
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
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
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Cold sweat, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold sweats, nausea

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

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2022-03-03
Call 1 — Left Voicemail
2022-04-03
Survey response — 12 months, dose 2
MedDRA: Adverse drug reaction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Not COVID related. I had a reaction to a med my physician placed me on.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-06-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-12-10	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Nose bleeds, chest tightness, cough, weakness

2021-03-08

Systemic reaction (other): Loose stools, nose bleed

2021-03-09

Systemic reaction (other): Loose stools. I believe my signs and symptoms over the last 3 days may have been gastroenteritis and no vaccine reaction.

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Loose stools - most likely gastroenteritis and not from vaccine.

Release 5 — day 14, dose 1

2021-03-17

Symptoms: I feel like I have too much adrenaline in my body. I have no concerning thoughts but my stomach is anxious and I continue with loose stools. I have a virtual appt with my PCP tomorrow 3/18.

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Cold sweats, nausea

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: Not COVID related. I had a reaction to a med my physician placed me on.

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 drug reaction	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Gastroenteritis	✓	✓	✓

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