5NH-24783-24852

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 088 / NJ
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Survey response — day 0, dose 1
MedDRA: Fatigue, Headache, Nausea — Feeling: Good

Free text: Tired, very slight nausea, and a not quite headache...could be nerves from the shot process

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Chest pain, Headache — Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Slight chest/ belly pains...fleeting...and a headache not quite there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Teensy headache, almost gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Lymphoedema — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lymphodema left arm, severe lower back paim

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Coccydynia, Pain, Pelvic pain — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Very bad lower back, seems to radiate through pelvis. and coccyx bone ...not a normal thing for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair

Free text: Mainly fatigue, light congestion...slight headache. Could be coincidental cold maybe. Joint pain is normal level not elevated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 28, dose 2
MedDRA: Respiratory tract congestion, Sinusitis — Feeling: Good

Free text: Slight upper respiratory issue maybe sinusitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Menstrual disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Im not sure the shot and issue are relatedwill update if it continues.My daughter is having continuing menstrual changes since the shot(same dates as me) she is not getting this survey so reporting here. · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Survey response — 12 months, dose 2
MedDRA: Office visit, Pneumonia — Feeling: Good · 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: Symptoms: Pneumonia ( not Covid - tested negative at home and also next day was tested both quick and PCR at a urgent care facility) Diagnosed cold/ upper respiratory infection - no antibiotics just otc cold Breast calcifications just follow up in 6 mos. · Healthcare visit (other): Plus regular Dr 5 days laterwhere diagnosis was pneumonia got antibiotics

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 12 months, dose 2
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)
2022-04-04
Call 1 — Could Not Reach Participant
2022-04-07
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Tired, very slight nausea, and a not quite headache...could be nerves from the shot process

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Slight chest/ belly pains...fleeting...and a headache not quite there.

2021-03-13

Systemic reaction (other): Teensy headache, almost gone

2021-03-14

Systemic reaction (other): Improving

2021-03-15

Systemic reaction (other): Lymphodema left arm, severe lower back paim

2021-03-16

Systemic reaction (other): Very bad lower back, seems to radiate through pelvis. and coccyx bone ...not a normal thing for me

Release 7 — day 21, dose 2

2021-04-22

Symptoms: Mainly fatigue, light congestion...slight headache. Could be coincidental cold maybe. Joint pain is normal level not elevated.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Slight upper respiratory issue maybe sinusitis

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Fatigue

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Im not sure the shot and issue are relatedwill update if it continues.My daughter is having continuing menstrual changes since the shot(same dates as me) she is not getting this survey so reporting here.

Healthcare visit (other): Dr office

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Pneumonia ( not Covid - tested negative at home and also next day was tested both quick and PCR at a urgent care facility) Diagnosed cold/ upper respiratory infection - no antibiotics just otc cold Breast calcifications just follow up in 6 mos.

Healthcare visit (other): Plus regular Dr 5 days laterwhere diagnosis was pneumonia got antibiotics

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Coccydynia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓

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