56Q-40792-81753

3 vaccinations 16 coded responses 23 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 923 / CA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-20
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 14, dose 1
MedDRA: Constipation, Fatigue, Insomnia — Feeling: Fair

Free text: Fatigue s d problem sleeping and bowels slow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal motility disorder — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness

Free text: Not having bowel movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Bowel movement irregularity — Feeling: Fair · Chills, Headache, Abdominal pain

Free text: Problem since shots with not having regular bowel movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills and fatigue and headach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Chills — Feeling: Fair

Free text: Chills snd Im having surg 4/02 they want me to have covid test 2 days b4 where can I go I cant seem to find anything for sure appt on 3/31 and where???

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

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches terrible headaches and left arm still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 42, dose 2
MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches tired brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · 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: Symptoms: Now Im border line diabetic and have high cholesterol and high blood pressure snd regurgitate mitral & tricuspid I had COVID March 2020 your app wont let me put in March of 2020! I had to put no in re do cause your app wont let me put last y · Healthcare visit (other): Now also gi problems besides heart cholestrial diabetes and problems with gi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Eye pain, Fatigue, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left eye constantly hurting the eye dr did a puncture duct insert but no better. Cant get past the fatigue. Sence of smell still not the best since evidently having had COVID in March 2020 before vaccines.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Dose 3 — Pfizer-BioNTech
2021-09-02
Health check-in — day 0, dose 3
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Poor · Fever · Headache, Abdominal pain · Be unable to do your normal daily activities

Free text: Tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Just itching on top of my feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I dont know temp but sweating a lot this am

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Survey response — day 7, dose 3
MedDRA: Abdominal pain upper, Headache, Hyperhidrosis, Nausea, Pain, Self-medication — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I was up all nite with tummy pains now excruciating left top of head shooting pains u took 3 aspirin its given me nausea also had a lot of sweating yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-09-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-30
Survey response — day 28, dose 3
MedDRA: Abdominal distension, Fatigue, Gastrointestinal pain, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Intestines- bloating, pain. Im having endoscopy & colonoscopy 10/4 at (b)(6). Having a lot of fatigue snd morning headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Abdomen constantly hurts since 1 st January shot and still headaches and fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — 3 months, dose 3
MedDRA: Anosmia, Cough, Fatigue, Headache, Insomnia, Nasopharyngitis, Night sweats, Oropharyngeal pain, Peripheral coldness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 11-07-21 I was tested told neg I think it was positive ! Can't sleep - worse now. Sweat at nite tho house cold. Hands & feet freezing. At 11-07 time I had slight sore throat, fever, some coughing, could smell anything, terrible headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-09-02	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Fatigue s d problem sleeping and bowels slow

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Not having bowel movements

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Problem since shots with not having regular bowel movements

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Chills and fatigue and headach

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Chills snd Im having surg 4/02 they want me to have covid test 2 days b4 where can I go I cant seem to find anything for sure appt on 3/31 and where???

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Headaches terrible headaches and left arm still hurts

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Headaches tired brain fog

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Now Im border line diabetic and have high cholesterol and high blood pressure snd regurgitate mitral & tricuspid I had COVID March 2020 your app wont let me put in March of 2020! I had to put no in re do cause your app wont let me put last y

Healthcare visit (other): Now also gi problems besides heart cholestrial diabetes and problems with gi

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Left eye constantly hurting the eye dr did a puncture duct insert but no better. Cant get past the fatigue. Sence of smell still not the best since evidently having had COVID in March 2020 before vaccines.

Release 9 — days 1–6 daily, dose 3

2021-09-03

Systemic reaction (other): Tired

2021-09-06

Systemic reaction (other): Just itching on top of my feet

2021-09-07

Systemic reaction (other): I dont know temp but sweating a lot this am

Release 9 — day 7, dose 3

2021-09-09

Systemic reaction (other): I was up all nite with tummy pains now excruciating left top of head shooting pains u took 3 aspirin its given me nausea also had a lot of sweating yesterday

Release 9 — day 28, dose 3

2021-09-30

Symptoms: Intestines- bloating, pain. Im having endoscopy & colonoscopy 10/4 at (b)(6). Having a lot of fatigue snd morning headaches

redacted (b)(6)

Release 10 — day 35, dose 3

2021-10-10

Symptoms: Abdomen constantly hurts since 1 st January shot and still headaches and fatigue

Release 10 — 3 months, dose 3

2021-12-06

Symptoms: 11-07-21 I was tested told neg I think it was positive ! Can't sleep - worse now. Sweat at nite tho house cold. Hands & feet freezing. At 11-07 time I had slight sore throat, fever, some coughing, could smell anything, terrible headaches, fatigue

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	Pre-existing disease	✓	✓	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Anosmia	·	·	✓
SD	Chills	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Cough	·	·	✓
SD	Eye pain	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Night sweats	·	·	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral coldness	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Bowel movement irregularity	✓	✓	✓
SRO	Fatigue	✓	·	✓
SRO	Gastrointestinal motility disorder	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pain	·	·	✓
SRO	Pruritus	✓	·	✓
SRO	Self-medication	·	·	✓

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