5JS-30459-11200

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 338 / FL
Registered: 2021-07-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-07-10
Dose 1 — Pfizer-BioNTech
2021-07-13
Registered in v-safe
2021-07-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Suffer from Graves Disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: Slight pain in armpit still continues, suspect near lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-31
Dose 2 — Pfizer-BioNTech
2021-07-31
Survey response — day 0, dose 2
MedDRA: Atrial septal defect, Graves' disease — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Graves disease; patent forman ovale

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Graves disease, patent forman ovale

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Heart rate increased, Hot flush, Pre-existing disease — Feeling: Fair · Fever · Chills · Be unable to do your normal daily activities

Free text: Hot flashes, heartburn, heart rate little more elevated - Have Graves disease, patent foramen ovale

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Palpitations, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Still heart palpitations, higher heart rate. Have Graves disease, patent foramen ovale

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-08-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-08-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Moderna
2022-01-22
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Insomnia, slightly elevated heart rate compared to normal

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2022-01-27
Survey response — days 1–6 daily, dose 3
MedDRA: Parosmia — Feeling: Fair · Headache

Free text: Phantosmia started

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — day 7, dose 3
MedDRA: Parosmia — Feeling: Fair · Headache, Nausea

Free text: Continued burning smell sensation

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — day 14, dose 3
MedDRA: Dizziness, Headache, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, lightheaded, dizzy. Heart heart elevated more than normal

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — day 42, dose 3
MedDRA: Premature menopause — Feeling: Good

Free text: Recent diagnoses of premature menopause at age 39

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-10	Pfizer-BioNTech	No
2	2021-07-31	Pfizer-BioNTech	No
3	2022-01-22	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-13

Systemic reaction (other): Suffer from Graves Disease

2021-07-14

Systemic reaction (other): Slight pain in armpit still continues, suspect near lymph node

Release 9 — day 0, dose 2

2021-07-31

Systemic reaction (other): Graves disease; patent forman ovale

Release 9 — days 1–6 daily, dose 2

2021-08-01

Systemic reaction (other): Graves disease, patent forman ovale

2021-08-02

Systemic reaction (other): Hot flashes, heartburn, heart rate little more elevated - Have Graves disease, patent foramen ovale

2021-08-04

Systemic reaction (other): Still heart palpitations, higher heart rate. Have Graves disease, patent foramen ovale

Release 11 — days 1–6 daily, dose 3

2022-01-23

Systemic reaction (other): Insomnia, slightly elevated heart rate compared to normal

2022-01-27

Systemic reaction (other): Phantosmia started

Release 11 — day 7, dose 3

2022-01-29

Systemic reaction (other): Continued burning smell sensation

Release 11 — day 14, dose 3

2022-02-05

Symptoms: Headache, lightheaded, dizzy. Heart heart elevated more than normal

Release 11 — day 42, dose 3

2022-03-08

Symptoms: Recent diagnoses of premature menopause at age 39

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
SD	Dizziness	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Premature menopause	·	·	✓
SRO	Atrial septal defect	✓	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dyspepsia	✓	·	✓
SRO	Graves' disease	✓	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Hot flush	✓	·	✓
SRO	Insomnia	·	·	✓
SRO	Palpitations	✓	·	✓
SRO	Parosmia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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