5CD-64139-58277

4 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 379 / TN
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Body temperature increased, Pain — Feeling: Good

Free text: .5 degree fever, body aches for about 24 hours 6 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 1
MedDRA: Fatigue, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: 100 degree temp for 24 hours, body aches, and fatigue that lasted another 24 hours. Got covid test- negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities, Pain, Pyrexia — Feeling: Fair

Free text: more than 24 hours of 101 degree fever, body aches, and fatigue sufficient to interfere with daily activities day after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · None

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

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue, similar to first dose reactions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Nerve compression, Physiotherapy — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: T3 pinched nerve · Healthcare visit (other): PT

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2022-04-11
Dose 3 — Moderna
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Back pain, Dacryostenosis acquired, Lacrimation increased, Pre-existing disease — Feeling: Poor · 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: Epiphora/PANDO. Trapezius pain assoc w cervical spine deterioration. Shoulder pain not yet evaluated

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-27
Dose 4 — Pfizer-BioNTech
2022-09-08
Survey response — day 42, dose 4
MedDRA: Reflux laryngitis, Sensation of foreign body — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Esophageal globus r/o silent reflux

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-09
Call 1 — Left Voicemail
2022-10-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2022-04-11	Moderna	No
4	2022-07-27	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: .5 degree fever, body aches for about 24 hours 6 days ago

Release 8 — day 28, dose 1

2021-04-29

Symptoms: 100 degree temp for 24 hours, body aches, and fatigue that lasted another 24 hours. Got covid test- negative

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): more than 24 hours of 101 degree fever, body aches, and fatigue sufficient to interfere with daily activities day after vaccine

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Fatigue, similar to first dose reactions

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: T3 pinched nerve

Healthcare visit (other): PT

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: Epiphora/PANDO. Trapezius pain assoc w cervical spine deterioration. Shoulder pain not yet evaluated

Release 12 — day 42, dose 4

2022-09-08

Symptoms: Esophageal globus r/o silent reflux

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	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Dacryostenosis acquired	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Nerve compression	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Reflux laryngitis	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sensation of foreign body	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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