5M3-26263-48223

5 vaccinations 12 coded responses 27 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-03-18

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Chills, Fatigue or tiredness, Nausea

Free text: The symptoms im Having are due to adrenal insufficiency,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 2
MedDRA: Adrenal insufficiency — Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Symptoms due to adrenal insufficiency not the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 21, dose 2
MedDRA: Adrenal insufficiency, Chills — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills related to adrenal insufficiency

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 28, dose 2
MedDRA: Fall, Limb injury — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fell and hurt my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 42, dose 2
MedDRA: Fall, Rotator cuff syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Injured rotator cuff through fall

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Dose 3 — Pfizer-BioNTech
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Limb injury, Physiotherapy — 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: Symptoms: Atrial fibrillation Left shoulder injury · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
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)
2021-09-20
Call 1 — Left Voicemail
2021-09-22
Call successful
Not applicable - Accidental Reporting
2021-09-22
Call successful
Not applicable - Accidental Reporting
2021-09-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-01-29
Dose 4 — Pfizer-BioNTech
2022-02-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Survey response — 3 months, dose 4
MedDRA: Adrenocortical insufficiency acute, Urinary tract infection — 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, Emergency room or emergency department visit

Free text: Adrenal crisis and UTI

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-30
Survey response — 6 months, dose 4
MedDRA: Adrenal insufficiency — Feeling: Poor · Be unable to do your normal daily activities

Free text: Adrenal insufficiency please note, my antibodies tested as 0. I have received Evusheld

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-10-09
Survey response — day 21, dose 5
MedDRA: Adrenal insufficiency, Blood sodium decreased, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Not related to vaccine Was hospitalized for low sodium and adrenal insufficiency 9/30-10/03/2022

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-14
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 35, dose 5
MedDRA: Medical counselling, Pancreatic failure — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with pancreatic insufficiency. NOT VACCINE RELATED · Healthcare visit (other): Phone follow up to lab work

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-24
Call 1 — Left Voicemail
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Survey response — 6 months, dose 5
MedDRA: Cystocele — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-08-21	Pfizer-BioNTech	No
4	2022-01-29	Pfizer-BioNTech	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): The symptoms im Having are due to adrenal insufficiency,

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Symptoms due to adrenal insufficiency not the vaccine.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Chills related to adrenal insufficiency

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Fell and hurt my arm

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Injured rotator cuff through fall

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Atrial fibrillation Left shoulder injury

Healthcare visit (other): Physical therapy

Release 11 — 3 months, dose 4

2022-04-30

Symptoms: Adrenal crisis and UTI

Release 12 — 6 months, dose 4

2022-07-30

Symptoms: Adrenal insufficiency please note, my antibodies tested as 0. I have received Evusheld

Release 12 — day 21, dose 5

2022-10-09

Symptoms: Not related to vaccine Was hospitalized for low sodium and adrenal insufficiency 9/30-10/03/2022

Release 12 — day 35, dose 5

2022-10-21

Symptoms: Diagnosed with pancreatic insufficiency. NOT VACCINE RELATED

Healthcare visit (other): Phone follow up to lab work

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	Medical counselling	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Adrenal insufficiency	✓	✓	✓
SD	Adrenocortical insufficiency acute	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Blood sodium decreased	·	·	✓
SD	Chills	✓	✓	✓
SD	Cystocele	·	·	✓
SD	Fall	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Limb injury	✓	✓	✓
SD	Pancreatic failure	·	·	✓
SD	Rotator cuff syndrome	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Adrenal insufficiency	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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