5EJ-20537-26590

4 vaccinations 9 coded responses 31 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 010 / MA
Registered: 2021-04-10

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

2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Malaise, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Overall malaise, headache and arm is sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Spacey, dizzy-brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog -moderate to high along w/waves of fatigue, was feeling fine and then abruptly like walking into walk of fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Brain fog, lightheaded ness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-05-15
Survey response — day 14, dose 2
MedDRA: Brain fog, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue comes and goes, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-05
Dose 3 — Pfizer-BioNTech
2022-04-28
Dose 4 — Moderna
2022-05-01
Survey response — 12 months, dose 2
MedDRA: COVID-19, Sinusitis — Feeling: Fair · Be unable to work or attend school, 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: Jan 2022 had COVID Omicron, subsequent sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, light headed, foggy

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Call 1 — Requested Callback
2022-05-04
Callback requested for
03:45PM ET
2022-05-04
Call successful
Not applicable - Accidental Reporting
2022-05-05
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Survey response — 3 months, dose 4
MedDRA: Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, sore throat, headache, extreme fatigue, feverish, all came on suddenly

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-12-05	Pfizer-BioNTech	No
4	2022-04-28	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Overall malaise, headache and arm is sore

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Dizziness

2021-05-04

Systemic reaction (other): Spacey, dizzy-brain fog

2021-05-05

Systemic reaction (other): Brain fog -moderate to high along w/waves of fatigue, was feeling fine and then abruptly like walking into walk of fatigue

2021-05-07

Systemic reaction (other): Brain fog, lightheaded ness

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Fatigue comes and goes, brain fog

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Jan 2022 had COVID Omicron, subsequent sinus infection

Release 11 — days 1–6 daily, dose 4

2022-05-01

Systemic reaction (other): Dizziness, light headed, foggy

Release 12 — 3 months, dose 4

2022-07-30

Symptoms: Nausea, sore throat, headache, extreme fatigue, feverish, all came on suddenly

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	Brain fog	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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