53D-10762-29965

4 vaccinations 7 coded responses 41 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2020-12-22

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-29
Survey response — day 7, dose 1
MedDRA: Fatigue, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Improving. Just tired / aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-11
Report sent to call center — day 0, dose 2
Be unable to work

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal, Hyperhidrosis — Feeling: Poor · Headache, Fatigue or tiredness

Free text: Sweating; just really off for 18 hrs now; needed to stay home but had to work as a private RN today- so I will check that I went to work. But quiet day

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Very tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — day 21, dose 3
MedDRA: Asthenia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Low energy in general. More than usual.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Discomfort, Ear congestion, General physical health deterioration, Hypoacusis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe inner ear hearing loss 65-70% left ear only with feeling of fullness. MRI pending. Symptoms became uncomfortable last few months (after booster). I did not associate this with vax Right side test was 25% age related with no discomfort. · Healthcare visit (other): My Doctor's office RE: left ear & then audiologist

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Had to leave work.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Survey response — day 7, dose 4
MedDRA: Abdominal discomfort, Abdominal distension — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Intermittent abdominal discomfort / bloating

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No

Call center

6 call center cases

1 successful · 5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Improving. Just tired / aches

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Sweating; just really off for 18 hrs now; needed to stay home but had to work as a private RN today- so I will check that I went to work. But quiet day

Release 10 — day 14, dose 3

2021-10-11

Symptoms: Very tired

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Low energy in general. More than usual.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Severe inner ear hearing loss 65-70% left ear only with feeling of fullness. MRI pending. Symptoms became uncomfortable last few months (after booster). I did not associate this with vax Right side test was 25% age related with no discomfort.

Healthcare visit (other): My Doctor's office RE: left ear & then audiologist

Release 11 — days 1–6 daily, dose 4

2022-04-14

Systemic reaction (other): Had to leave work.

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): Intermittent abdominal discomfort / bloating

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	Asthenia	·	·	✓
SD	Discomfort	·	·	✓
SD	Ear congestion	·	·	✓
SD	Fatigue	·	·	✓
SD	General physical health deterioration	·	·	✓
SD	Hypoacusis	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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