5HV-16421-72466

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 11 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 402 / KY
Registered: 2020-12-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-24
Dose 1 — Pfizer-BioNTech
2020-12-25
Registered in v-safe
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Feeling abnormal, Impaired work ability — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Brain fog comes with fatigue . Worked only 6 hours today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
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 — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site scar — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: I have a scar at each of the 2 Injection sites

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Trouble focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Survey response — day 14, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Fatigue and nausea today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 21, dose 2
MedDRA: Burning sensation, Dry skin, Fatigue, Mobility decreased, Skin burning sensation, Thermal burn — Feeling: Good · Be unable to do your normal daily activities

Free text: Very dry skinWoke up with burning left thumb Hit the wall-fatigue yesterday in bed 12 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 28, dose 2
MedDRA: Back pain, Fatigue, Myalgia, Night sweats, Sleep disorder — Feeling: Good

Free text: Disturbed sleepNight sweats RashElevated temp intermittent- 99.7 highestFatigueMuscle aches back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 35, dose 2
MedDRA: Insomnia, Night sweats — Feeling: Fair

Free text: Night sweatsSleeping difficulty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 42, dose 2
MedDRA: Amnesia, Disturbance in attention, Fatigue, Hypoaesthesia, Nasal congestion, Rash, Sleep disorder, Upper-airway cough syndrome — Feeling: Good

Free text: Facial lesions ,early am blurred vision left eye , sleep disturbed by nasal congestion post nasal drip, numbness in fingers and hands relieved by supine Position , periods of overwhelming fatigue, loss of concentration/ focus/ memory

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — 3 months, dose 2
MedDRA: Fatigue, Feeling of body temperature change, Insomnia, Skin disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin changesInsomnia secondary to temperature changesFatigue · Healthcare visit (other): Scheduled visit with derm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-15
Survey response — 6 months, dose 2
MedDRA: Aortic bruit, Arthralgia, Fatigue, Mass, Musculoskeletal stiffness, Nodule, Pain in extremity, Peripheral swelling — Feeling: Fair · 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: 1) aortic murmur on exam this week awaiting echo2)nodularity , stiffness, pain, swelling of hands3) lump on back4) pain left hip despite PT 5) Fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Could Not Reach Participant
2021-07-27
Call 2 — Left Voicemail
2022-01-16
Survey response — 12 months, dose 2
MedDRA: Body temperature decreased, Brain fog, Chills, Cough, Dyspnoea, Fatigue, Influenza virus test negative, Malaise, Nausea, Office visit — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Tuesday 1/11/22 + malaise, chills ( temperature 96-97 whenever I checked) nausea, and brain fog followed with cough and shortness of breath. Started feeling better yesterday and went for a walk . Fatigue back today. Had negative Antigen test Thurs. · Healthcare visit (other): Got antigen test. Tried to get PCR but it turned out to be another antigen test with flu at my office - all negative. Scheduled for PCR 1/18

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-18
Call 1 — Left Voicemail
2022-01-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech

Call center

11 call center cases

3 successful · 8 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Brain fog comes with fatigue . Worked only 6 hours today

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Nasal congestion

2021-01-16

Systemic reaction (other): I have a scar at each of the 2 Injection sites

2021-01-20

Systemic reaction (other): Trouble focusing

Release 2 — day 14, dose 2

2021-01-28

Symptoms: Fatigue and nausea today

Release 3 — day 21, dose 2

2021-02-04

Symptoms: Very dry skinWoke up with burning left thumb Hit the wall-fatigue yesterday in bed 12 hours

Release 4 — day 28, dose 2

2021-02-11

Symptoms: Disturbed sleepNight sweats RashElevated temp intermittent- 99.7 highestFatigueMuscle aches back

Release 4 — day 35, dose 2

2021-02-18

Symptoms: Night sweatsSleeping difficulty

Release 4 — day 42, dose 2

2021-02-25

Symptoms: Facial lesions ,early am blurred vision left eye , sleep disturbed by nasal congestion post nasal drip, numbness in fingers and hands relieved by supine Position , periods of overwhelming fatigue, loss of concentration/ focus/ memory

Release 7 — 3 months, dose 2

2021-04-17

Symptoms: Skin changesInsomnia secondary to temperature changesFatigue

Healthcare visit (other): Scheduled visit with derm

Release 9 — 6 months, dose 2

2021-07-15

Symptoms: 1) aortic murmur on exam this week awaiting echo2)nodularity , stiffness, pain, swelling of hands3) lump on back4) pain left hip despite PT 5) Fatigue

Release 10 — 12 months, dose 2

2022-01-16

Symptoms: Tuesday 1/11/22 + malaise, chills ( temperature 96-97 whenever I checked) nausea, and brain fog followed with cough and shortness of breath. Started feeling better yesterday and went for a walk . Fatigue back today. Had negative Antigen test Thurs. cut off by CDC

Healthcare visit (other): Got antigen test. Tried to get PCR but it turned out to be another antigen test with flu at my office - all negative. Scheduled for PCR 1/18

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	Influenza virus test negative	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Aortic bruit	✓	·	✓
SD	Arthralgia	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Body temperature decreased	·	·	✓
SD	Brain fog	·	·	✓
SD	Burning sensation	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Mass	✓	·	✓
SD	Mobility decreased	✓	·	○
SD	Musculoskeletal stiffness	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Nodule	✓	·	✓
SD	Pain in extremity	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Rash	✓	✓	✓
SD	Skin burning sensation	✓	·	○
SD	Skin disorder	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Thermal burn	○	✓	○
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Injection site scar	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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