4YC-67828-11393

5 vaccinations 9 coded responses 45 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 741 / OK
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Asthma-like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Hospitalisation, Nephrolithiasis, Sepsis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Sepsis and kidney stone in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 35, dose 2
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)
2021-05-19
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Urinary tract infection — Feeling: Good · 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: Recurrent UTI.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Left Voicemail
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Dose 3 — Pfizer-BioNTech
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-14
Dose 4 — Pfizer-BioNTech
2022-06-14
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-06-16
Survey response — days 1–6 daily, dose 4
MedDRA: Ageusia, SARS-CoV-2 test negative — Feeling: Good · Joint pains, Muscle or body aches

Free text: Loss of taste; covid test negative

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-06-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-06-21
Health check-in — day 7, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-06-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-12
Survey response — day 28, dose 4
MedDRA: Ageusia — Feeling: Fair

Free text: Within 12 hours of the most recent booster, I lost my sense of taste. It lasted 2-3 days. 4 days ago, this recurred for the 2nd time. Both the first and second recurrences lasted about 36 hours. In my life, I had lost taste & smell once before.

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-15
Dose 5 — Pfizer-BioNTech
2022-12-16
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-12-17
Survey response — days 1–6 daily, dose 5
MedDRA: Chemotherapy, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: I am on low-dose chemo for autoimmune problems. Don't know how much is vaccine & how much is other problems.o

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-12-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-12-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-12-22
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-12-30
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2023-01-05
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-01-12
Survey response — day 28, dose 5
MedDRA: Arthralgia, Medical counselling — 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

MedDRA releases: 2024-11
2023-01-12
Report sent to call center — day 28, dose 5
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)
2023-01-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-19
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-01-26
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-03-16
Survey response — 3 months, dose 5
MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-17
Survey response — 6 months, dose 5
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No
4	2022-06-14	Pfizer-BioNTech	No
5	2022-12-15	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Asthma-like symptoms

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Sepsis and kidney stone in hospital

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Recurrent UTI.

Release 12 — days 1–6 daily, dose 4

2022-06-16

Systemic reaction (other): Loss of taste; covid test negative

Release 12 — day 28, dose 4

2022-07-12

Symptoms: Within 12 hours of the most recent booster, I lost my sense of taste. It lasted 2-3 days. 4 days ago, this recurred for the 2nd time. Both the first and second recurrences lasted about 36 hours. In my life, I had lost taste & smell once before.

Release 12 — days 1–6 daily, dose 5

2022-12-17

Systemic reaction (other): I am on low-dose chemo for autoimmune problems. Don't know how much is vaccine & how much is other problems.o

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	Ageusia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sepsis	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Ageusia	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Chemotherapy	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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