5M6-39190-11568

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 750 / TX
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feels like an autoimmune flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune disorder, Lymphadenopathy, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: This feels like a flare of my autoimmune. Some swelling of axillary nodes on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune disorder — Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Feels like autoimmune flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Thes feel autoimmune related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Autoimmune flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: Starting an autoimmune flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Lung infiltration, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lung infiltrate, left and flaring with autoimmune

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-12-17
Dose 3 — Pfizer-BioNTech
2021-12-17
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Fever · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Cough, Nasal congestion — Feeling: Fair · Site: Redness · Fever · Be unable to do your normal daily activities

Free text: Cough and chest tightness, nasal stuffiness

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Aspartate aminotransferase increased, C-reactive protein increased — Feeling: Good · Fatigue or tiredness

Free text: Mildly elevated AST and CRP

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Nausea, 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 · Outpatient clinic or urgent care clinic visit

Free text: Transaminasemia, abdominal discomfort and nausea. On new medicine Imuran, begun 1 week after booster.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-02
Call 1 — Left Voicemail
2022-03-18
Survey response — 3 months, dose 3
MedDRA: Liver function test abnormal, Pre-existing disease, Unevaluable event — Feeling: Good · 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: Abormal LFTs on Imuran, had to DC. Now on CellCept and prednisone · Healthcare visit (other): Liver ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-06-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-12-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Feels like an autoimmune flare

2021-04-08

Systemic reaction (other): This feels like a flare of my autoimmune. Some swelling of axillary nodes on side of injection

2021-04-09

Systemic reaction (other): Feels like autoimmune flare

2021-04-12

Systemic reaction (other): Thes feel autoimmune related

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Autoimmune flare

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Starting an autoimmune flare

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Lung infiltrate, left and flaring with autoimmune

Release 10 — days 1–6 daily, dose 3

2021-12-21

Systemic reaction (other): Cough and chest tightness, nasal stuffiness

2021-12-23

Systemic reaction (other): Mildly elevated AST and CRP

Release 11 — day 42, dose 3

2022-01-29

Symptoms: Transaminasemia, abdominal discomfort and nausea. On new medicine Imuran, begun 1 week after booster.

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: Abormal LFTs on Imuran, had to DC. Now on CellCept and prednisone

Healthcare visit (other): Liver ultrasound

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 discomfort	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Liver function test abnormal	·	·	✓
SD	Lung infiltration	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Aspartate aminotransferase increased	·	·	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	C-reactive protein increased	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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