5BT-11982-58931

4 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-04-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-21
Dose 1 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Pre-existing disease, Swelling — Feeling: Fair · Site: Pain, Swelling · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have IBS and allergies - symptoms other than swelling and muscle pain probably not due to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Gout — Feeling: Good

Free text: Mild gout symptoms on left big toe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — day 42, dose 2
MedDRA: Gastrointestinal disorder, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: IBS related gastrointestinal problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-09
Dose 3 — Pfizer-BioNTech
2022-05-12
Survey response — 12 months, dose 2
MedDRA: COVID-19, Headache, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild Covid 19 with severe sinus congestion and headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — 3 months, dose 3
MedDRA: COVID-19, Headache, Medical counselling, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild Covid with severe sinus congestion and headache. Self diagnosed with at home quick Covid test. I am taking Paxlovid after a telehealth check up since I have at least two risk factors for severe Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-12
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-13
Call 1 — Left Voicemail
2022-11-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-21
Survey response — days 1–6 daily, dose 4
MedDRA: Sinus congestion — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Survey response — day 7, dose 4
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Congestion - could be allergies

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech
3	2022-02-09	Pfizer-BioNTech	No
4	2022-11-16	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): I have IBS and allergies - symptoms other than swelling and muscle pain probably not due to vaccine

2021-04-26

Systemic reaction (other): Mild gout symptoms on left big toe

Release 9 — day 42, dose 2

2021-06-23

Symptoms: IBS related gastrointestinal problems.

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: Mild Covid 19 with severe sinus congestion and headache

Release 11 — 3 months, dose 3

2022-05-12

Symptoms: Mild Covid with severe sinus congestion and headache. Self diagnosed with at home quick Covid test. I am taking Paxlovid after a telehealth check up since I have at least two risk factors for severe Covid.

Release 12 — days 1–6 daily, dose 4

2022-11-21

Systemic reaction (other): Sinus congestion

Release 12 — day 7, dose 4

2022-11-23

Systemic reaction (other): Congestion - could be allergies

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
SD	COVID-19	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	·	·	✓
SD	Medical counselling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Gout	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Swelling	✓	✓	✓

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