5FM-15005-19311

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 200 / DC
Registered: 2021-02-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Pain in jaw, Pyrexia — Feeling: Fair · Fever · Muscle or body aches

Free text: Although I dont have fever, I feel feverish and my left ear and jaw ache, but I am much better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — day 14, dose 1
MedDRA: Balance disorder, Ear injury, Fall, Feeling abnormal, Head injury, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I fell on Feb 28 and hit my left ear and head side against my home door frame. The next day I was unsteady like floating. The day after I was back to normsl · Healthcare visit (other): I talked on the phone with a physician friend

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: The abdominal pains may be due to some liquid eggs I ate last evening, which were beyond expiration date

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: A lot of pain on my knees- more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Stress at work — Feeling: Good · Be unable to work

Free text: Fatigue and horrible headache. Probably from stress due to work deadlines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Call 1 — Could Not Reach Participant
2021-11-11
Call 2 — Left Voicemail
2021-11-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Although I dont have fever, I feel feverish and my left ear and jaw ache, but I am much better than yesterday

Release 5 — day 14, dose 1

2021-03-05

Symptoms: I fell on Feb 28 and hit my left ear and head side against my home door frame. The next day I was unsteady like floating. The day after I was back to normsl

Healthcare visit (other): I talked on the phone with a physician friend

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): The abdominal pains may be due to some liquid eggs I ate last evening, which were beyond expiration date

Release 6 — day 14, dose 2

2021-03-26

Symptoms: A lot of pain on my knees- more than usual

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Fatigue and horrible headache. Probably from stress due to work deadlines

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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Ear injury	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Head injury	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Stress at work	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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