5A6-33476-53573

2 vaccinations 15 coded responses 25 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 708 / LA
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
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Cystitis interstitial, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Flare of interstitial cystitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Urinary tract disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Urinary problems that I do not think are related. To the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Survey response — day 0, dose 2
MedDRA: Urinary tract pain — Feeling: Good

Free text: Urinary pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Just mild soreness at injection Site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Poor · Site: Pain

Free text: Sore throat post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Urinary tract pain — Feeling: Poor · Muscle or body aches · Be unable to work

Free text: Urinary pain and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Chronic urinary pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dysuria — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urinary pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract pain — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work

Free text: Urinary pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Urinary infection went to urologist · Healthcare visit (other): Saw urologist at womans Hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 14, dose 2
MedDRA: Herpes virus infection, Medical counselling, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Urinary infection and outbreak of Herpes · Healthcare visit (other): My personal urologist/ gynecologist

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
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 35, dose 2
MedDRA: Back pain, Pain, Urinary tract pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body aches urinary pain backache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Frequent bowel movements, Nausea, Oral herpes — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pain nausea frequent bowel movements. Cold sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Pain, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat body aches post nasal drip

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-14
Call 1 — Requested Callback
2021-12-14
Callback requested for
06:00PM ET
2021-12-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Flare of interstitial cystitis

2021-01-31

Systemic reaction (other): Sleepy

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Urinary problems that I do not think are related. To the vaccine

Release 4 — day 0, dose 2

2021-02-17

Systemic reaction (other): Urinary pain

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Just mild soreness at injection Site

2021-02-19

Systemic reaction (other): Sore throat post nasal drip

2021-02-20

Systemic reaction (other): Urinary pain and back pain

2021-02-21

Systemic reaction (other): Chronic urinary pain

2021-02-22

Systemic reaction (other): Urinary pain

2021-02-23

Systemic reaction (other): Urinary pain

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Urinary infection went to urologist

Healthcare visit (other): Saw urologist at womans Hospital

Release 4 — day 14, dose 2

2021-03-03

Symptoms: Urinary infection and outbreak of Herpes

Healthcare visit (other): My personal urologist/ gynecologist

Release 6 — day 35, dose 2

2021-03-24

Symptoms: Body aches urinary pain backache

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Stomach pain nausea frequent bowel movements. Cold sore

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Sore throat body aches post nasal drip

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Herpes virus infection	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Upper-airway cough syndrome	✓	·	✓
SD	Urinary tract disorder	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SD	Urinary tract pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cystitis interstitial	✓	✓	✓
SRO	Dysuria	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓
SRO	Urinary tract pain	✓	✓	✓

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