55S-69034-42543

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 060 / CT
Registered: 2021-02-16

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
Dose 1 — Pfizer-BioNTech
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: None othan then feeling tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Office visit, Peripheral swelling, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not sure if it has anything at all to do with shot, but I have had worsening of swollen feet. Have had swelling from time to time of left foot from a broken tibia and fibula. It always went away by my wearing of compression stockings, but now wont. · Healthcare visit (other): Visit to my primary doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — day 21, dose 2
MedDRA: Hypersomnia, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: I still feel very sleepy and fall asleep frequently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Cholelithotomy, Emergency care, Hepatic failure, Intensive care, Renal failure, Renal stone removal, Septic shock, Surgery — 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: Nothing to do with Covid. I was taken by ambulance to the hospital and ended up in the ICU because I had septic shock because my liver and kidney was shutting down. It ended up that I later had two surgeries. I had 25 gallstones and 30 kidney stones

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
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)
2021-08-20
Call 2 — Left Voicemail
2021-08-26
Call 3 — Left Voicemail
2021-08-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-16
Dose 3 — Pfizer-BioNTech
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Survey response — 6 months, dose 3
MedDRA: Emergency care, Feeling abnormal, Hospitalisation, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: I had a UTI and was taken by ambulance to the hospital where I was for 6 days. I was out of it for about 3 days when I arrived to the hospital.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-11-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-11-16	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-17

Systemic reaction (other): None othan then feeling tired

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): None

Release 4 — day 14, dose 2

2021-03-03

Symptoms: Not sure if it has anything at all to do with shot, but I have had worsening of swollen feet. Have had swelling from time to time of left foot from a broken tibia and fibula. It always went away by my wearing of compression stockings, but now wont. cut off by CDC

Healthcare visit (other): Visit to my primary doctor

Release 5 — day 21, dose 2

2021-03-10

Symptoms: I still feel very sleepy and fall asleep frequently.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Nothing to do with Covid. I was taken by ambulance to the hospital and ended up in the ICU because I had septic shock because my liver and kidney was shutting down. It ended up that I later had two surgeries. I had 25 gallstones and 30 kidney stones cut off by CDC

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: I had a UTI and was taken by ambulance to the hospital where I was for 6 days. I was out of it for about 3 days when I arrived to the hospital.

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	Cholelithotomy	✓	·	✓
SD	Emergency care	✓	·	✓
SD	Feeling abnormal	·	·	✓
SD	Hepatic failure	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Intensive care	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal failure	✓	·	✓
SD	Renal stone removal	✓	·	✓
SD	Septic shock	✓	·	✓
SD	Somnolence	✓	✓	✓
SD	Surgery	✓	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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