5MZ-10555-72504

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 040 / ME
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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Survey response — day 0, dose 1
MedDRA: Malaise, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have fibromyalgia, and chronic fatigue syndrome. Both those cause me to feel fluish when I have a flu shot. I feel like this is going to happen I'm already starting to feel crappy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus congestion, Sneezing — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chronic fatigue syndrome — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I have chronic fatigue syndrome, so it could be that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shaking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Oral herpes — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Cold sore, eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Eye infection, Facial pain, Oral herpes — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold sore on left eye infection on right, facial pain

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: Eye swelling, Oral discomfort — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen eye , lips feel like they are on fire , but not swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Eye infection, Oral discomfort — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eye infection, burning lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Really tired

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): I have fibromyalgia, and chronic fatigue syndrome. Both those cause me to feel fluish when I have a flu shot. I feel like this is going to happen I'm already starting to feel crappy.

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Congestion, sore throat

2021-03-20

Systemic reaction (other): Sinus congestion and sneezing

2021-03-24

Systemic reaction (other): I have chronic fatigue syndrome, so it could be that.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Shaking

2021-04-10

Systemic reaction (other): Cold sore, eye pain

2021-04-11

Systemic reaction (other): Cold sore on left eye infection on right, facial pain

2021-04-12

Systemic reaction (other): Swollen eye , lips feel like they are on fire , but not swollen.

2021-04-13

Systemic reaction (other): Eye infection, burning lips

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: Really tired

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	Fatigue	·	·	✓
SRO	Chronic fatigue syndrome	✓	✓	✓
SRO	Eye infection	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Oral discomfort	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tremor	✓	✓	✓

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