5AT-26276-38702

5 vaccinations 11 coded responses 59 check-ins 11 free-text entries 1 call case

Sex: —
Age at first dose: 51-55
ZIP prefix: 381 / TN
Registered: 2021-03-12

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Light sensitive headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 21, dose 2
MedDRA: Bone pain, Fatigue, Pre-existing disease, Pyrexia, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue is up, plus bone ache & fever. I have fibromyalgia & had RA; this is just a flare up, probably triggered by the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-08
Dose 3 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sore throat, sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Gastrooesophageal reflux disease, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Acid reflux and GI distress. · Healthcare visit (other): Doctors office visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-20
Call 1 — Left Voicemail
2022-01-21
Callback requested for
430 C
2022-01-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-06
Dose 4 — Moderna
2022-06-06
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-06-11
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness

Free text: I have fibro and now migraines; I doubt the booster is responsible.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — days 1–6 daily, dose 4
MedDRA: Migraine — Feeling: Good · Site: Swelling · Headache

Free text: Weather migraine most likely

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-05
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-19
Dose 5 — Pfizer-BioNTech
2022-11-20
Survey response — days 1–6 daily, dose 5
MedDRA: Paranasal sinus hypersecretion — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinuses started running

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-22
Survey response — days 1–6 daily, dose 5
MedDRA: Immediate post-injection reaction, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: My sinuses started running within half an hour of injection and are still clearing.

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Survey response — days 1–6 daily, dose 5
MedDRA: Sinus disorder — Feeling: Fair · Fatigue or tiredness

Free text: Sinuses are finally drying up.

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Abdominal pain

Adult check-in
2022-11-26
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2022-12-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-17
Survey response — day 28, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fibromyalgia is in flare-up.

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-31
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-18
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-22
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-12-08	Moderna	No
4	2022-06-06	Moderna	No
5	2022-11-19	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Loss of appetite

Release 7 — day 14, dose 2

2021-04-26

Symptoms: Light sensitive headache

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Fatigue is up, plus bone ache & fever. I have fibromyalgia & had RA; this is just a flare up, probably triggered by the vaccine.

Release 10 — day 28, dose 3

2022-01-05

Symptoms: Sore throat, sinus drainage

Release 10 — day 42, dose 3

2022-01-19

Symptoms: Acid reflux and GI distress.

Healthcare visit (other): Doctors office visit

Release 12 — days 1–6 daily, dose 4

2022-06-11

Systemic reaction (other): I have fibro and now migraines; I doubt the booster is responsible.

2022-06-12

Systemic reaction (other): Weather migraine most likely

Release 12 — days 1–6 daily, dose 5

2022-11-20

Systemic reaction (other): Sinuses started running

2022-11-22

Systemic reaction (other): My sinuses started running within half an hour of injection and are still clearing.

2022-11-23

Systemic reaction (other): Sinuses are finally drying up.

Release 12 — day 28, dose 5

2022-12-17

Symptoms: Fibromyalgia is in flare-up.

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	Abdominal discomfort	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Migraine	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sinus disorder	·	·	✓

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