5LV-34384-07602

6 vaccinations 15 coded responses 43 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2021-01-26

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

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-26
Registered in v-safe
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Fatigue, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomiting nausea fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 1
MedDRA: Nausea — Feeling: Fair

Free text: still feel nauseous but I think it may be from something other than the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Pain in extremity, Pre-existing disease, Pyrexia — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: felt feverish but temp was normal. I have arthritis in my thumbs and the pain has been greater lately, but not sure if from vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Nausea may be related to nasal spray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue, Nausea, Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I just got tested and have C Diff. Diarrhea nausea vomiting stomach ache fatigue. Going on for about a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 21, dose 2
MedDRA: Sinusitis — 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

Free text: C Diff after a course of antibiotic for sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 35, dose 2
MedDRA: Dizziness, Hypotension — Feeling: Fair · Be unable to do your normal daily activities

Free text: low blood pressure, dizziness - probably not connected with vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 42, dose 2
MedDRA: Hypotension — Feeling: Good · Be unable to do your normal daily activities

Free text: Low blood pressure for 4 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-16
Dose 3 — Pfizer-BioNTech
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Back pain, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue stomach ache sore throat back pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Fatigue, Feeling hot, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: sore throat, fatigue, diarrhea and felt feverish with no fever. common cluster of symptoms that have had in the past w/Crohn's. had a negative covid test last week. I am on Remicade, an immune suppressant & wish I could tell if I have antibodies.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-19
Dose 4 — Pfizer-BioNTech
2022-02-14
Survey response — 6 months, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Dose 5 — Moderna
2022-06-03
Survey response — days 1–6 daily, dose 5
MedDRA: Asthenopia, Eye irritation, Lacrimation increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My eyes felt irritated and tired. Watery

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-06-14
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-07-12
Survey response — day 42, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Survey response — 3 months, dose 5
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

Free text: sore throat, fatigue tested negative

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 6 — Pfizer-BioNTech
2022-09-24
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Headache, Nausea

Adult check-in
2022-09-30
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 35, dose 6
MedDRA: Nausea, Oropharyngeal pain, Vomiting — Feeling: Good

Free text: Nausea vomiting sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 6
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-08-16	Pfizer-BioNTech	No
4	2022-01-19	Pfizer-BioNTech	No
5	2022-05-31	Moderna	No
6	2022-09-23	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Vomiting nausea fatigue

Release 4 — day 21, dose 1

2021-02-15

Symptoms: still feel nauseous but I think it may be from something other than the vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): felt feverish but temp was normal. I have arthritis in my thumbs and the pain has been greater lately, but not sure if from vaccine?

2021-02-24

Systemic reaction (other): Nausea may be related to nasal spray

Release 5 — day 14, dose 2

2021-03-05

Symptoms: I just got tested and have C Diff. Diarrhea nausea vomiting stomach ache fatigue. Going on for about a week.

Release 5 — day 21, dose 2

2021-03-14

Symptoms: C Diff after a course of antibiotic for sinus infection

Release 6 — day 35, dose 2

2021-03-27

Symptoms: low blood pressure, dizziness - probably not connected with vaccine

Release 6 — day 42, dose 2

2021-04-03

Symptoms: Low blood pressure for 4 hours

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Fatigue stomach ache sore throat back pain

Release 10 — 3 months, dose 3

2021-11-15

Symptoms: sore throat, fatigue, diarrhea and felt feverish with no fever. common cluster of symptoms that have had in the past w/Crohn's. had a negative covid test last week. I am on Remicade, an immune suppressant & wish I could tell if I have antibodies. cut off by CDC

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: Sore throat fatigue

Release 11 — days 1–6 daily, dose 5

2022-06-03

Systemic reaction (other): My eyes felt irritated and tired. Watery

Release 12 — day 42, dose 5

2022-07-12

Symptoms: Sore throat

Release 12 — 3 months, dose 5

2022-08-31

Symptoms: sore throat, fatigue tested negative

Release 12 — day 35, dose 6

2022-10-28

Symptoms: Nausea vomiting sore throat

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	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Hypotension	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Asthenopia	·	·	✓
SRO	Eye irritation	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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