5GU-27524-09502

3 vaccinations 14 coded responses 35 check-ins 14 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 662 / KS
Registered: 2020-12-29

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Nasal congestion, dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Sneezing — Feeling: Fair

Free text: Sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chills, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, chills, body aches, joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Medical counselling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: My brother is a physician and assured me the symptoms would end sun and to battle through them

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Lymphoedema — Feeling: Poor · 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Edema in lymph nodes under injection sight arm and that side of my neck. Loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 2
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)
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
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
2021-02-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-09
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on legs and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Poor · 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: Every day since the second vaccine, everyone of my joints hurt so bad!!! It has continued and worsened since 24 post 2nd vaccine. This is awful and a sudden onset from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — 3 months, dose 2
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)
2021-05-06
Call 1 — Left Voicemail
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: With in a few hours the vaccine, I began menstruations 10 days early and have had the heaviest menstration Ive ever had

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Heavy menstrual bleeding, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heavy menstrual bleeding. Still. Lymph nodes under left arm and on left side of neck swollen. Had booster in left deltoid.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node swelling on side of injection in arm out and neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2021-11-11
Survey response — day 42, dose 3
MedDRA: Brain fog — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog worsening.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Survey response — 6 months, dose 3
MedDRA: COVID-19, Papilloedema — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Had diagnosis of covid in January 2022. Had left optic nerve edema due to covid

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

8 call center cases

4 unsuccessful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Nasal congestion, dry cough

2021-01-02

Systemic reaction (other): Sneezing

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Sore throat

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Fever, chills, body aches, joint pain.

Release 2 — days 1–6 daily, dose 2

2021-01-20

Healthcare visit (other): My brother is a physician and assured me the symptoms would end sun and to battle through them

2021-01-21

Systemic reaction (other): Edema in lymph nodes under injection sight arm and that side of my neck. Loss of appetite.

2021-01-22

Systemic reaction (other): Swollen lymph glands

Release 3 — day 21, dose 2

2021-02-09

Symptoms: Rash on legs and arms

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Every day since the second vaccine, everyone of my joints hurt so bad!!! It has continued and worsened since 24 post 2nd vaccine. This is awful and a sudden onset from the vaccine.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): With in a few hours the vaccine, I began menstruations 10 days early and have had the heaviest menstration Ive ever had

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Heavy menstrual bleeding. Still. Lymph nodes under left arm and on left side of neck swollen. Had booster in left deltoid.

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Lymph node swelling on side of injection in arm out and neck

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Brain fog worsening.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Had diagnosis of covid in January 2022. Had left optic nerve edema due to covid

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	Adverse reaction	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Pain	✓	✓	✓
SD	Papilloedema	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Heavy menstrual bleeding	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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