5FU-71988-81496

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 627 / IL
Registered: 2021-05-29

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

2021-05-29
Registered in v-safe
2021-05-29
Dose 1 — Pfizer-BioNTech
2021-05-29
Survey response — day 0, dose 1
MedDRA: Nephrolithiasis, Self-medication, Urinary tract infection — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have Tylenol in my pain medication i take daily. & have to monitor temp daily bc of kidney stone & frequent UTI from Lt kidney deformity causing stones to form in that kidney. Also have open pressure sore from being in w/c & hasnt healed in 7mo. It has gotten infected in March. Antibiotics given by Dr.(b)(6) for that infection. Better now & is healing much better now, but still open sore about size of approx.a dime now, down from size of half dollar when 1st opened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Recent low iron results few wks b injection, too?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-06-05
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-19
Dose 2 — Pfizer-BioNTech
2021-06-19
Survey response — day 0, dose 2
MedDRA: Insomnia, Office visit, Sleep deficit — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Haven't got much sleep lately,have insomnia. · Healthcare visit (other): Dr.visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Rarely have headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had migraine last1 night (nighf after 2nd i1njection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Migraines the prior 2 days. Mild headache today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Headache only mild today, not migraine like couple days after (injection Sat.19th).)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Call 1 — Left Voicemail
2021-07-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-02
Survey response — day 42, dose 2
MedDRA: Eye swelling, Rhinorrhoea — Feeling: Fair

Free text: Lt.under eye swollen since yesterday. No injury. Just looks like i got punched. Swollen but not really red. Putting very warm compresses on it few times a day. Runny nose often.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-29	Pfizer-BioNTech
2	2021-06-19	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-29

Systemic reaction (other): Have Tylenol in my pain medication i take daily. & have to monitor temp daily bc of kidney stone & frequent UTI from Lt kidney deformity causing stones to form in that kidney. Also have open pressure sore from being in w/c & hasnt healed in 7mo. It has gotten infected in March. Antibiotics given by Dr.(b)(6) for that infection. Better now & is healing much better now, but still open sore about size of approx.a dime now, down from size of half dollar when 1st opened.

redacted (b)(6)

Release 8 — days 1–6 daily, dose 1

2021-05-30

Systemic reaction (other): Not hungry

2021-06-01

Systemic reaction (other): Recent low iron results few wks b injection, too?

Release 9 — day 0, dose 2

2021-06-19

Systemic reaction (other): Haven't got much sleep lately,have insomnia.

Healthcare visit (other): Dr.visits

Release 9 — days 1–6 daily, dose 2

2021-06-20

Systemic reaction (other): Rarely have headaches.

2021-06-21

Systemic reaction (other): Had migraine last1 night (nighf after 2nd i1njection.

2021-06-22

Systemic reaction (other): Migraines the prior 2 days. Mild headache today.

2021-06-23

Systemic reaction (other): Headache only mild today, not migraine like couple days after (injection Sat.19th).)

Release 9 — day 42, dose 2

2021-08-02

Symptoms: Lt.under eye swollen since yesterday. No injury. Just looks like i got punched. Swollen but not really red. Putting very warm compresses on it few times a day. Runny nose often.

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	Eye swelling	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nephrolithiasis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep deficit	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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