55D-19372-52581

1 vaccination 6 coded responses 14 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 734 / OK
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Survey response — day 0, dose 1
MedDRA: Anaphylaxis treatment, Urinary tract infection — Feeling: Good · Fatigue or tiredness

Free text: I am on day 2 batrium plus for u.t.i. infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I am also dealing with a u.t.i. infection. This is day 3 for 14 day Bactrim plus after a 10 day Cipro 500mg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have mentioned this u.t.i. infection that I gave had for over 2 months. I wasn't treated for it until this month and waa given Cipro 500mg for ten day I am on Day 4, I think of the newest Bactrim Plus. I was symptom free with Cipro. My normal temperature is 97.4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Ear infection, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Breathing sinus and ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — day 21, dose 1
MedDRA: Endotracheal intubation — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Intubated 08 Feb.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — day 28, dose 1
MedDRA: Anxiety, Insomnia, Oxygen consumption decreased, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: More congestion, decreased oxygen levels, anxiety/panic attacks, not sleeping well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-18
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech

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 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): I am on day 2 batrium plus for u.t.i. infection

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): I am also dealing with a u.t.i. infection. This is day 3 for 14 day Bactrim plus after a 10 day Cipro 500mg.

2021-01-30

Systemic reaction (other): I have mentioned this u.t.i. infection that I gave had for over 2 months. I wasn't treated for it until this month and waa given Cipro 500mg for ten day I am on Day 4, I think of the newest Bactrim Plus. I was symptom free with Cipro. My normal temperature is 97.4.

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Breathing sinus and ear infection

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Intubated 08 Feb.

Release 4 — day 28, dose 1

2021-02-24

Symptoms: More congestion, decreased oxygen levels, anxiety/panic attacks, not sleeping well.

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	Anxiety	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Endotracheal intubation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Oxygen consumption decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Anaphylaxis treatment	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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