5ME-11758-53273

3 vaccinations 10 coded responses 17 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 349 / FL
Registered: 2021-06-10

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-05-08
Dose 1 — Pfizer-BioNTech
2021-06-09
Dose 2 — Pfizer-BioNTech
2021-06-10
Registered in v-safe
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — 6 months, dose 2
MedDRA: Influenza like illness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel like I have the flu

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fall, Irritability, Memory impairment — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness, falling, irritable, can not remember most things,

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-06-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-07-12
Survey response — day 14, dose 3
MedDRA: Asthenia, Confusional state, Depression, Ear pain, Emotional disorder, Headache, Night sweats, Pain, Panic attack, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body pain Night sweats Headache's Earache's Vision problems Emotional Depression Panic Attacks Low energy Confusion

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — day 21, dose 3
MedDRA: Depressed mood, Ear pain, Headache, Insomnia, Lethargy, Pain, Panic attack — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel lethargic my body hurts and aches, I have headaches every day. My ears hurt and am depressed. Panic attacks are frequent and it's very hard to sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Survey response — day 35, dose 3
MedDRA: No adverse event, 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

Free text: Symptoms: No · Healthcare visit (other): No

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
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

1 call case(s)
2022-08-03
Call 1 — Requested Callback
2022-08-04
Call 2 — Requested Callback
2022-08-05
Call 3 — Left Voicemail
2022-08-05
Callback requested for
08:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-08	Pfizer-BioNTech
2	2021-06-09	Pfizer-BioNTech
3	2022-06-28	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): No

2021-06-11

Systemic reaction (other): No

2021-06-13

Systemic reaction (other): No

2021-06-15

Systemic reaction (other): No

Release 9 — day 7, dose 2

2021-06-16

Systemic reaction (other): No

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: Feel like I have the flu

Release 12 — 12 months, dose 2

2022-06-11

Symptoms: Dizziness, falling, irritable, can not remember most things,

Release 12 — day 14, dose 3

2022-07-12

Symptoms: Body pain Night sweats Headache's Earache's Vision problems Emotional Depression Panic Attacks Low energy Confusion

Release 12 — day 21, dose 3

2022-07-19

Symptoms: I feel lethargic my body hurts and aches, I have headaches every day. My ears hurt and am depressed. Panic attacks are frequent and it's very hard to sleep.

Release 12 — day 35, dose 3

2022-08-02

Symptoms: No

Healthcare visit (other): No

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	Asthenia	·	·	✓
SD	Confusional state	·	·	✓
SD	Depressed mood	·	·	✓
SD	Depression	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear pain	·	·	✓
SD	Emotional disorder	·	·	✓
SD	Fall	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Insomnia	·	·	✓
SD	Irritability	·	·	✓
SD	Lethargy	·	·	✓
SD	Memory impairment	·	·	✓
SD	Night sweats	·	·	✓
SD	No adverse event	·	·	✓
SD	Pain	·	·	✓
SD	Panic attack	·	·	✓
SD	Visual impairment	·	·	✓
SRO	No adverse event	✓	✓	✓

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