5ER-26126-49490

5 vaccinations 10 coded responses 46 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 660 / KS
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tender injection site but not what I would describe as pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Im extremely tired, sleeping a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Headache

Free text: Occasional queasiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Still a bit of queasy stomach - after the first injection I felt least well on the Sunday following. This second vaccination seems to be the same situation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Nausea — Feeling: Good

Free text: Some queasiness early in the day, chest tightness but likely anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Chest pain, Cough, Diverticulum, Fatigue, Headache, Nausea, Office visit, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Constant congestion in sinuses, headaches, sore throat, cough, diverticulosis diagnosis, extreme fatigue, queasy stomach on a regular basis, chest pain resulting in nuclear medicine heart stress test · Healthcare visit (other): In-office visits, colonoscopy at hospital

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-03-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Exposure to SARS-CoV-2 — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Notified 4/25/22 of direct exposure to COVID-positive individual on 4/23/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Fair · Headache, Fatigue or tiredness

Free text: At-home tested twice with negative results of Covid from direct exposure on 4/23/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — day 7, dose 4
MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness

Free text: Anxious

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-25
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Survey response — 3 months, dose 5
MedDRA: Cough, Sinus congestion — Feeling: Fair

Free text: Sinus congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2023-03-16
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-15	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Tender injection site but not what I would describe as pain

2021-02-14

Systemic reaction (other): Im extremely tired, sleeping a lot

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Occasional queasiness

2021-03-07

Systemic reaction (other): Still a bit of queasy stomach - after the first injection I felt least well on the Sunday following. This second vaccination seems to be the same situation.

2021-03-10

Systemic reaction (other): Some queasiness early in the day, chest tightness but likely anxiety

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Constant congestion in sinuses, headaches, sore throat, cough, diverticulosis diagnosis, extreme fatigue, queasy stomach on a regular basis, chest pain resulting in nuclear medicine heart stress test

Healthcare visit (other): In-office visits, colonoscopy at hospital

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Notified 4/25/22 of direct exposure to COVID-positive individual on 4/23/22

2022-04-26

Systemic reaction (other): At-home tested twice with negative results of Covid from direct exposure on 4/23/22

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): Anxious

Release 12 — 3 months, dose 5

2022-12-15

Symptoms: Sinus congestion, cough

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	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Diverticulum	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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