4YV-13381-04636

5 vaccinations 15 coded responses 39 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 212 / MD
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tiredness

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Dizziness when moving around

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Last evening I had a horrendous headache that built from 3pmovernight. I couldnt report this yesterday bc the survey occurred before the headache became a major problem. The rating on the headache is mostly based on last evening to this morning. It has mostly resolved now (3/5 at 15:17). Also, I have swollen glands. Not a huge bother. Moderate to mild issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node in left armpit (same side as shot). And swollen glands under ears/at jaw line

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Diarrhea

Free text: Swollen glands persist mostly left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache

Free text: Lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-10
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Swollen lymph nodes persist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair

Free text: Swollen glands at base of jaw Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Diabetes · Healthcare visit (other): In person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Dose 3 — Pfizer-BioNTech
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Antinuclear antibody positive, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Seeing rheumatologist to assess for possible autoimmune disorder due to high/positive ANA · Healthcare visit (other): Doctors visit, blood work

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2021-10-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-14
Survey response — 6 months, dose 3
MedDRA: Office visit, Systemic lupus erythematosus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Seeing rheumatologist to determine official DX. Likely SLE.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-03-31
Dose 4 — Moderna
2022-09-18
Dose 5 — Moderna
Co-administered: Flu
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-10-02
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-16
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-23
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-30
Survey response — day 42, dose 5
MedDRA: Arthralgia, Myalgia — 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: Joint and muscle pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — day 42, 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)
2022-10-31
Call 1 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-12-20
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-08-14	Pfizer-BioNTech	No
4	2022-03-31	Moderna	No
5	2022-09-18	Moderna	Flu

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Swollen glands

2021-02-15

Systemic reaction (other): Cold symptoms

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Dizziness when moving around

2021-03-05

Systemic reaction (other): Last evening I had a horrendous headache that built from 3pmovernight. I couldnt report this yesterday bc the survey occurred before the headache became a major problem. The rating on the headache is mostly based on last evening to this morning. It has mostly resolved now (3/5 at 15:17). Also, I have swollen glands. Not a huge bother. Moderate to mild issue.

2021-03-06

Systemic reaction (other): Swollen lymph node in left armpit (same side as shot). And swollen glands under ears/at jaw line

2021-03-07

Systemic reaction (other): Swollen glands persist mostly left side

2021-03-08

Systemic reaction (other): Lymph node swelling

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Swollen lymph nodes persist

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Swollen glands at base of jaw Fatigue

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Diabetes

Healthcare visit (other): In person visit

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Seeing rheumatologist to assess for possible autoimmune disorder due to high/positive ANA

Healthcare visit (other): Doctors visit, blood work

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: Seeing rheumatologist to determine official DX. Likely SLE.

Release 12 — days 1–6 daily, dose 5

2022-09-19

Systemic reaction (other): Dizziness

2022-09-20

Systemic reaction (other): Swollen lymph node

Release 12 — day 42, dose 5

2022-10-30

Symptoms: Joint and muscle pain

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	Antinuclear antibody positive	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Systemic lupus erythematosus	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓

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