5KA-24297-47494

4 vaccinations 6 coded responses 35 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 871 / NM
Registered: 2021-04-16

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

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

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Survey response — day 0, dose 2
MedDRA: Injection site pain, Joint range of motion decreased, Pain, Vaccine positive rechallenge — Feeling: Fair · Site: Pain

Free text: Pain at injection site is mild. Range of motion is impacted, tightness in raising arm above shoulder. (The same as the first injection at this point.).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog; tingling toes and achey fingers on injection side of body 8 hours after vaccination before going mostly away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headed, moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Dizziness, Fatigue, Influenza virus test negative, Nausea, Rash, Rash pruritic, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Rash started a few days after 2nd vax, then faded. Returned 8 days after shot over entire body w/severe itching. Being treated with prednisone and hydroxzeine. Had a covid, strep and flu - all negative. Dizziness/fatigue/stomach pain/nausea persist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Survey response — day 35, dose 3
MedDRA: Chills, Cough, Dizziness, Dysgeusia, Fatigue, Myalgia, Nausea, Paranasal sinus hypersecretion, Pre-existing disease, Sneezing, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Chills, muscle pain, immense fatigue, huge increase in normal dizziness, nausea, gross taste in mouth, sinus drainage, sneezing, occasional cough. No fever and I can still taste and smell. · Healthcare visit (other): Told to get seen. Am getting a C19 rapid test tomorrow first.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2021-12-14
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-24
Dose 4 — Pfizer-BioNTech
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · 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

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-02
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-02	Moderna	No
4	2022-05-24	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Pain at injection site is mild. Range of motion is impacted, tightness in raising arm above shoulder. (The same as the first injection at this point.).

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Brain fog; tingling toes and achey fingers on injection side of body 8 hours after vaccination before going mostly away.

2021-04-21

Systemic reaction (other): Light headed, moderate

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Light headed

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Rash started a few days after 2nd vax, then faded. Returned 8 days after shot over entire body w/severe itching. Being treated with prednisone and hydroxzeine. Had a covid, strep and flu - all negative. Dizziness/fatigue/stomach pain/nausea persist. cut off by CDC

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Chills, muscle pain, immense fatigue, huge increase in normal dizziness, nausea, gross taste in mouth, sinus drainage, sneezing, occasional cough. No fever and I can still taste and smell.

Healthcare visit (other): Told to get seen. Am getting a C19 rapid test tomorrow first.

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	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Influenza virus test negative	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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