5HY-23312-56614

4 vaccinations 10 coded responses 42 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 670 / KS
Registered: 2021-01-11

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2021-01-11
Registered in v-safe
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Good

Free text: Momentary taste of metal @ 2 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tylenol helped with headache and achy feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain — Feeling: Good · Headache

Free text: Unable to report yesterday evening: Achy and headache from 5:00pm on. Took Tylenol and I was fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 2
MedDRA: Delirium, Drug interaction, Therapeutic product ineffective — Feeling: Fair

Free text: I have been expecting feelings that can only be described as Sundowners, at night and early mornings. I take HRT. After both injections I was left feeling like the patch stopped working. The 1st lasted 3-4 days. The 2nd injection is lasting longer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am still expecting brain fog. I had it briefly from the first vaccine. It went away in a few days. After the second vaccine, the effects are long lasting. Its been 3 months without any let-up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling cold, Nausea — Feeling: Good

Free text: The day after the injection, I felt chilled and nauseated

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Survey response — day 42, dose 3
MedDRA: Influenza, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Upper respiratory flu · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

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)
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Breast cancer, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Early detection Breast Cancer · Healthcare visit (other): Doctor Visit, MRI, Ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Breast cancer, SARS-CoV-2 test positive, Surgery — Feeling: Poor · Be unable to work or attend school

Free text: Breast Cancer, surgery and treatments. Just tested positive for COVID-19 today

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Dose 4 — Pfizer-BioNTech
2022-06-25
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-07-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-07-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-09
Survey response — day 14, dose 4
MedDRA: Brain fog — Feeling: Fair

Free text: Brain Fog

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-23
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-31
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-07
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 6 months, dose 4
Feeling: Good · Be unable to do your normal daily activities

Free text: Achey bones and joints. I am a very active person who suddenly started having these issues, after my Omicron booster, in June 2022.

Adult check-in · check-in free text available
2023-06-25
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No
4	2022-06-25	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — day 0, dose 2

2021-01-11

Systemic reaction (other): Momentary taste of metal @ 2 hours.

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Tylenol helped with headache and achy feeling

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Unable to report yesterday evening: Achy and headache from 5:00pm on. Took Tylenol and I was fine.

Release 3 — day 21, dose 2

2021-02-01

Symptoms: I have been expecting feelings that can only be described as Sundowners, at night and early mornings. I take HRT. After both injections I was left feeling like the patch stopped working. The 1st lasted 3-4 days. The 2nd injection is lasting longer. cut off by CDC

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: I am still expecting brain fog. I had it briefly from the first vaccine. It went away in a few days. After the second vaccine, the effects are long lasting. Its been 3 months without any let-up

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): The day after the injection, I felt chilled and nauseated

Release 10 — day 42, dose 3

2022-01-13

Symptoms: Upper respiratory flu

Healthcare visit (other): Office visit

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Early detection Breast Cancer

Healthcare visit (other): Doctor Visit, MRI, Ultrasound

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Breast Cancer, surgery and treatments. Just tested positive for COVID-19 today

Release 12 — day 14, dose 4

2022-07-09

Symptoms: Brain Fog

Release 12 — 6 months, dose 4

2022-12-25

Symptoms: Achey bones and joints. I am a very active person who suddenly started having these issues, after my Omicron booster, in June 2022.

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	Brain fog	·	·	✓
SD	Breast cancer	·	·	✓
SD	Delirium	✓	·	✓
SD	Drug interaction	○	✓	○
SD	Feeling abnormal	✓	✓	✓
SD	Influenza	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Surgery	·	·	✓
SD	Therapeutic product ineffective	✓	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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