5QB-25062-48506

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 473 / IN
Registered: 2020-12-21

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Migraine, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine-see a neurologist for chronic headaches but haven't had migraine like this in a long time, diarrhea- not unusual for me but has not ever presented with the severe stomach cramps i had or didint respond to the immodium, vomiting-not normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — 3 months, dose 2
MedDRA: Gastritis, Migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastritis, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-10
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Feeling abnormal, Migraine, Nephrolithiasis, Pre-existing disease — 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, Emergency room or emergency department visit

Free text: Emphysema has been much worse and have been miserable since beginning of April. Exacerbation has not let up. Kidney stone is new. Migraines are worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 6 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

1 call case(s)
2021-07-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-09
Survey response — 12 months, dose 2
MedDRA: Ear pain, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear ache, sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech

Call center

4 call center cases

2 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-04

Symptoms: Migraine-see a neurologist for chronic headaches but haven't had migraine like this in a long time, diarrhea- not unusual for me but has not ever presented with the severe stomach cramps i had or didint respond to the immodium, vomiting-not normal

Release 7 — 3 months, dose 2

2021-04-10

Symptoms: Gastritis, migraine

Release 9 — 6 months, dose 2

2021-07-10

Symptoms: Emphysema has been much worse and have been miserable since beginning of April. Exacerbation has not let up. Kidney stone is new. Migraines are worse.

Release 10 — 12 months, dose 2

2022-01-09

Symptoms: Ear ache, sinus infection

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	Abdominal pain upper	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Vomiting	✓	✓	✓

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