543-24037-43116

4 vaccinations 11 coded responses 45 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 948 / CA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort — Feeling: Good · Headache

Free text: Arm is still a little sore but not painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Once a day I have had fast throbbing noise in my left ear. First time Ive ever had this and it is post vaccine. Not painful. Weird.

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

Free text: Still some strange ear thumping but not painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Still have sounds in my left ear. Not painful but strange

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Nausea

Adult check-in
2021-05-11
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Survey response — day 28, dose 2
MedDRA: Brain fog, Nasal congestion, Nasopharyngitis, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: I flew to Chicago and came back with a head cold. Sneezing, stuffy nose head fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 21, dose 3
MedDRA: Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test, Sneezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sneezing, headache, runny nose, feverish · Healthcare visit (other): Went for Covid test

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Call 1 — Left Voicemail
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Got cold symptoms but tested negative. Sneezing, runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-04-15
Survey response — day 14, dose 4
MedDRA: Vertigo — 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

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-28
Health check-in — day 28, dose 4
Feeling: Fair

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

Adult check-in
2022-05-12
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-03-31
Survey response — 12 months, dose 4
MedDRA: Condition aggravated, Cough, Fatigue, Headache, Myalgia, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-11-26	Moderna	No
4	2022-03-31	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Arm is still a little sore but not painful

2021-04-02

Systemic reaction (other): Once a day I have had fast throbbing noise in my left ear. First time Ive ever had this and it is post vaccine. Not painful. Weird.

2021-04-04

Systemic reaction (other): Still some strange ear thumping but not painful.

2021-04-05

Systemic reaction (other): Still have sounds in my left ear. Not painful but strange

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): None

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Nausea diarrhea

Release 8 — day 28, dose 2

2021-05-25

Symptoms: I flew to Chicago and came back with a head cold. Sneezing, stuffy nose head fog

Release 10 — day 21, dose 3

2021-12-17

Symptoms: Sneezing, headache, runny nose, feverish

Healthcare visit (other): Went for Covid test

Release 10 — day 35, dose 3

2021-12-31

Symptoms: Got cold symptoms but tested negative. Sneezing, runny nose.

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Vertigo

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	SARS-CoV-2 test	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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