5RG-17084-14943

4 vaccinations 11 coded responses 27 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 503 / IA
Registered: 2021-03-16

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

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
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills · Be unable to do your normal daily activities

Free text: Worst has been dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Chills · Be unable to do your normal daily activities

Free text: Dizzy

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: Dizziness — Feeling: Fair · Fever · Chills · Be unable to do your normal daily activities

Free text: Dizziness comes and goes today

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: Dizziness — Feeling: Good

Free text: Very mild dizziness. Almost gone.

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: Good · Fever · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · 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
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lack of appetite down 5 pounds, return of dizziness

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: Asthenia, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Dizziness, low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

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

Adult check-in
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
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Pfizer-BioNTech
2022-04-06
Survey response — 12 months, dose 2
MedDRA: Arthritis, Asthma, Condition aggravated, Decreased appetite, Inflammation, Pre-existing disease, Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: A lot of inflammation. 4 weeks of vertigo following Covid booster. It also triggered my asthma, which continued for many weeks. Lot of inflammation all over-joints, abdomen. Trouble eating- no room in my stomach-like my Celiac gluten contamination.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Dose 4 — Moderna
2022-10-31
Survey response — 3 months, dose 4
MedDRA: Viral upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper respiratory virus.

MedDRA releases: 2024-11 · check-in free text available
2023-02-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No
4	2022-08-01	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Dizzy

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Worst has been dizziness

2021-03-18

Systemic reaction (other): Dizzy

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Dizziness comes and goes today

2021-03-20

Systemic reaction (other): Very mild dizziness. Almost gone.

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Sinus pain

2021-04-10

Systemic reaction (other): Lack of appetite down 5 pounds, return of dizziness

2021-04-11

Systemic reaction (other): Dizziness, low energy

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: A lot of inflammation. 4 weeks of vertigo following Covid booster. It also triggered my asthma, which continued for many weeks. Lot of inflammation all over-joints, abdomen. Trouble eating- no room in my stomach-like my Celiac gluten contamination. cut off by CDC

Release 12 — 3 months, dose 4

2022-10-31

Symptoms: Upper respiratory virus.

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	Arthritis	·	·	✓
SD	Asthma	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Inflammation	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vertigo	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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