5EQ-22700-03926

4 vaccinations 19 coded responses 37 check-ins 19 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 023 / MA
Registered: 2021-03-08

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Left searing ear pain and left sided headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Improving ear pain; not as searing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache, Pain in extremity — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Improving headache and ear pain. Having bilateral calf pain for last 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild aches and pains. No ear pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Muscle or body aches

Free text: Sweets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Headache, Paraesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Left sided headache and ear pain; bilateral tingling of hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Ear pain, Eye pain, Headache — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Left Piercing ear pain, pain behind my left eye; left sided head ache and left joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Mild ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — day 7, dose 2
MedDRA: Ear pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Ear pain. Symptoms came back during last night and lasted for a while and then resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 35, dose 2
MedDRA: Platelet count decreased — Feeling: Good

Free text: Decreased platelet count from 167k on 3/22/21 after first shot to 124k 4 weeks after my second shot. Doctor questions if related to vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Fibromyalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosis of Fibromyalgia

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-11-04
Dose 3 — Pfizer-BioNTech
2022-03-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-18
Dose 4 — Pfizer-BioNTech
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: Pain · Headache

Free text: Reflux

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-09-22
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperacusis, Photophobia — Feeling: Fair · Headache · Be unable to work or attend school

Free text: Light and noise sensitivity. I had these after initial 2 dose vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Burning sensation — Feeling: Fair · Headache

Free text: Last 2 days burning under shoulder blade but there's no rash. Almost feels like shingles burning.

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — day 7, dose 4
MedDRA: Burning sensation — Feeling: Good · Headache

Free text: Still have burning sensation below shoulder blade of the arm that was vaccinated

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — day 14, dose 4
MedDRA: Contusion, Dizziness — Feeling: Good

Free text: Bruising, light headness

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — day 21, dose 4
MedDRA: Contusion, Office visit, Platelet count decreased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: After bivalent booster I had bruising in lower extremities and had CBC checked 2 .5 weeks after vaccination. Platelets decreased by total of 20k · Healthcare visit (other): Visit to office

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-10
Call 2 — Left Voicemail
2022-10-10
Call 1 — Left Voicemail
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-18
Survey response — 3 months, dose 4
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinusitis and sinus infection not related to covid or vax

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-19
Call 1 — Left Voicemail
2023-03-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-11-04	Pfizer-BioNTech	No
4	2022-09-18	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Ear ache

2021-03-09

Systemic reaction (other): Left searing ear pain and left sided headache

2021-03-10

Systemic reaction (other): Improving ear pain; not as searing

2021-03-11

Systemic reaction (other): Improving headache and ear pain. Having bilateral calf pain for last 2 days

2021-03-12

Systemic reaction (other): Mild aches and pains. No ear pain.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Sweets

2021-03-30

Systemic reaction (other): Left sided headache and ear pain; bilateral tingling of hands and feet

2021-03-31

Systemic reaction (other): Left Piercing ear pain, pain behind my left eye; left sided head ache and left joint pain

2021-04-01

Systemic reaction (other): Mild ear pain

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Ear pain. Symptoms came back during last night and lasted for a while and then resolved

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Decreased platelet count from 167k on 3/22/21 after first shot to 124k 4 weeks after my second shot. Doctor questions if related to vaccination.

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Diagnosis of Fibromyalgia

Release 12 — days 1–6 daily, dose 4

2022-09-20

Systemic reaction (other): Reflux

2022-09-22

Systemic reaction (other): Light and noise sensitivity. I had these after initial 2 dose vaccine.

2022-09-24

Systemic reaction (other): Last 2 days burning under shoulder blade but there's no rash. Almost feels like shingles burning.

Release 12 — day 7, dose 4

2022-09-25

Systemic reaction (other): Still have burning sensation below shoulder blade of the arm that was vaccinated

Release 12 — day 14, dose 4

2022-10-04

Symptoms: Bruising, light headness

Release 12 — day 21, dose 4

2022-10-09

Symptoms: After bivalent booster I had bruising in lower extremities and had CBC checked 2 .5 weeks after vaccination. Platelets decreased by total of 20k

Healthcare visit (other): Visit to office

Release 12 — 3 months, dose 4

2022-12-18

Symptoms: Sinusitis and sinus infection not related to covid or vax

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	Contusion	·	·	✓
SD	Dizziness	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Platelet count decreased	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Hyperacusis	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Photophobia	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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