5CG-22789-67226

4 vaccinations 9 coded responses 46 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 662 / KS
Registered: 2021-02-04

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

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Survey response — day 7, dose 1
MedDRA: Diverticulitis, Imaging procedure — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Have just recovered from diverticulitis · Healthcare visit (other): Diagnostic imaging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-29
Call 2 — Left Voicemail
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Sore throat and congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma — Feeling: Good

Free text: Asthma attack

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair

Free text: GERD flair

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Cough, Patient isolation, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: GERD medication reaction. Also had sniffles and cough; no fever. Home Covid test on day 3 was negative. Could not find opening for PCR test. Felt better on day 7. Isolated for 10 days. No symptoms now except for reflux.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Reflux, but that's long-standing.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-05-02
Dose 4 — Moderna
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Survey response — day 14, dose 4
MedDRA: Contusion, Fall — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I fell and have a hip contusion.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call 1 — Could Not Reach Participant
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call successful
Not applicable - Accidental Reporting
2022-05-20
Call successful
Not applicable - Accidental Reporting
2022-05-20
Call successful
Not applicable - Accidental Reporting
2022-05-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-13
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Headache, Nausea, Respiratory tract congestion — Feeling: Fair

Free text: Diarrhea, nausea, some congestion, and headache.

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-02
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	Flu
4	2022-05-02	Moderna	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): Have just recovered from diverticulitis

Healthcare visit (other): Diagnostic imaging

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Sore throat and congestion

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Asthma attack

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): GERD flair

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: GERD medication reaction. Also had sniffles and cough; no fever. Home Covid test on day 3 was negative. Could not find opening for PCR test. Felt better on day 7. Isolated for 10 days. No symptoms now except for reflux.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Reflux, but that's long-standing.

Release 11 — day 14, dose 4

2022-05-16

Symptoms: I fell and have a hip contusion.

Release 12 — day 42, dose 4

2022-06-13

Symptoms: Diarrhea, nausea, some congestion, and headache.

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Nasal congestion

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	Imaging procedure	✓	✓	✓
SD	Contusion	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fall	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Patient isolation	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Asthma	·	·	✓
SRO	Diverticulitis	✓	✓	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Pre-existing disease	·	·	✓

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