5AA-18375-07572

5 vaccinations 11 coded responses 38 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-05-08

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

2021-04-29
Dose 1 — Pfizer-BioNTech
2021-05-08
Registered in v-safe
2021-05-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Pfizer-BioNTech
2021-05-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain, Respiratory tract congestion, Vertigo — Feeling: Fair

Free text: Fatigue, congestion, body aches, vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Dose 3 — Moderna
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Catarrh, Dyspnoea, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Shortness of breath, postnasal drip, mucus buildup in throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Respiratory tract congestion, Rhinorrhoea, Throat tightness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Congestion, runny nose, breathing feels constricted in throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Increased upper airway secretion, Respiratory tract congestion, Throat tightness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath, congestion, throat feels constricted -- coated in mucus

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Respiratory tract congestion, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, sneezing, short of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 7, dose 3
MedDRA: Dyspnoea, Fatigue, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, chronic fatigue, shortness of breatj

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-02
Survey response — day 21, dose 3
MedDRA: Fatigue, Hypopnoea, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chronic fatigue, shallow breathing, chest/throat congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-01-24
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-03-13
Survey response — 3 months, dose 3
MedDRA: Alopecia, Dyspnoea, Localised infection, Malaise, Nail bed infection, Nausea, Skin disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Toenail infection on big toe of each foot, scalp inflammation and hair loss, daily chronic nausea, resurgence of breathing difficulties (shortness of breath) · Healthcare visit (other): Appointments with podiatrist, dermatologist, internal medicine doctor have been made (too unwell to visit doctors until now)

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Call 1 — Left Voicemail
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Survey response — day 28, dose 4
MedDRA: Catarrh, Dizziness, Respiratory disorder, Respiratory tract congestion — Feeling: Poor

Free text: Chest congestion, lightheadedness, mucus buildup along respiratory tract --> mild, but noticeable, breathing issues

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-17
Survey response — 3 months, dose 4
MedDRA: Alopecia, Dyspnoea, Fatigue, Nausea, Post-acute COVID-19 syndrome, Rash, Skin disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Past 8 months (due to being a COVID long-hauler): hair loss, nausea (daily), skin problems (including rashes, peculiar hard bumps on arms, legs and face), shortness of breath, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Dose 5 — Moderna
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2022-10-06
Health check-in — day 7, dose 5
Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Survey response — day 21, dose 5
MedDRA: Alopecia, Catarrh, Dyspnoea, Erythema, Fatigue, Pre-existing disease, Rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: Long covid issues (since October 2021): Mucus buildup in throat & chest resulting in labored breathing. Chronic fatigue (again). Alopecia. Scalp rash/redness.

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Pfizer-BioNTech
2	2021-05-20	Pfizer-BioNTech
3	2021-12-10	Moderna	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-11-19

Symptoms: Fatigue, congestion, body aches, vertigo

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Shortness of breath, postnasal drip, mucus buildup in throat

2021-12-14

Systemic reaction (other): Congestion, runny nose, breathing feels constricted in throat

2021-12-15

Systemic reaction (other): Shortness of breath, congestion, throat feels constricted -- coated in mucus

2021-12-16

Systemic reaction (other): Congestion, sneezing, short of breath

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Congestion, chronic fatigue, shortness of breatj

Release 10 — day 21, dose 3

2022-01-02

Symptoms: Chronic fatigue, shallow breathing, chest/throat congestion

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: Toenail infection on big toe of each foot, scalp inflammation and hair loss, daily chronic nausea, resurgence of breathing difficulties (shortness of breath)

Healthcare visit (other): Appointments with podiatrist, dermatologist, internal medicine doctor have been made (too unwell to visit doctors until now)

Release 11 — day 28, dose 4

2022-05-16

Symptoms: Chest congestion, lightheadedness, mucus buildup along respiratory tract --> mild, but noticeable, breathing issues

Release 12 — 3 months, dose 4

2022-07-17

Symptoms: Past 8 months (due to being a COVID long-hauler): hair loss, nausea (daily), skin problems (including rashes, peculiar hard bumps on arms, legs and face), shortness of breath, fatigue.

Release 12 — day 21, dose 5

2022-10-21

Symptoms: Long covid issues (since October 2021): Mucus buildup in throat & chest resulting in labored breathing. Chronic fatigue (again). Alopecia. Scalp rash/redness.

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	Malaise	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Alopecia	·	·	✓
SD	Catarrh	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypopnoea	·	·	✓
SD	Localised infection	·	·	✓
SD	Nail bed infection	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Skin disorder	·	·	✓
SD	Vertigo	·	·	✓
SRO	Catarrh	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Throat tightness	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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