5UF-82588-51695

3 vaccinations 11 coded responses 20 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 900 / CA
Registered: 2020-12-21

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

Registered dependents

UYS-38167-89942 Child or adolescent in my care · Male · 2021-11-20

RF4-32818-83217 Child or adolescent in my care · Male · 2021-11-20

Timeline

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-21
Registered in v-safe
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Pain in extremity — Feeling: Good

Free text: Pain in right finger x2-3 days (related?), previously had pain at injection site x3-4 days, pain in opposite shoulder for a couple of days (unrelated??)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Survey response — day 14, dose 1
MedDRA: Headache, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: Possibly unrelated:Headache - spasm type of pain on top left side of head (unusual for me) - short durationTingling in digit (can't recall which one)

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

1 call case(s)
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-07
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Dizziness; symptoms likely related to work stress and dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Lack of appetite & dizzinesd, likely stress-induced

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Oral hyperaesthesia, Temperature intolerance — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Temperature sensitivity (started yesterday?), headacge also started previously

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-01-28
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-02-05
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Not sure if i previously reported this. Have noticed since after 1st dose, have rotating pain in elbows and knees (switches, not continuous); still having continued dizziness · Healthcare visit (other): Saw primary care and ENT aftrr 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dizziness, Fatigue, Headache — Feeling: Poor · 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: Still continuing to have: headaches. Joint pains intermittent, fatigue, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-11-20
Dose 3 — Pfizer-BioNTech
2021-11-20
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-06
Survey response — day 14, dose 3
MedDRA: Abdominal pain, Haematuria, Muscle spasms, Urethral pain — Feeling: Fair · 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: Intermittent hematuria since 12/1, Possible kidney stones per ultrasound, abdominal pain, cramps, urethral pain; plan: ct scan and cystoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 14, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-11-20	Pfizer-BioNTech	No

Call center

7 call center cases

3 unsuccessful · 4 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Pain in right finger x2-3 days (related?), previously had pain at injection site x3-4 days, pain in opposite shoulder for a couple of days (unrelated??)

Release 1 — day 14, dose 1

2021-01-01

Symptoms: Possibly unrelated:Headache - spasm type of pain on top left side of head (unusual for me) - short durationTingling in digit (can't recall which one)

Release 1 — day 0, dose 2

2021-01-07

Systemic reaction (other): Dizziness; symptoms likely related to work stress and dehydration

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Lack of appetite & dizzinesd, likely stress-induced

2021-01-09

Systemic reaction (other): Temperature sensitivity (started yesterday?), headacge also started previously

2021-01-13

Systemic reaction (other): Dizziness

Release 2 — day 7, dose 2

2021-01-14

Systemic reaction (other): Dizziness/light headed

Release 3 — day 28, dose 2

2021-02-05

Symptoms: Not sure if i previously reported this. Have noticed since after 1st dose, have rotating pain in elbows and knees (switches, not continuous); still having continued dizziness

Healthcare visit (other): Saw primary care and ENT aftrr 2nd dose

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Still continuing to have: headaches. Joint pains intermittent, fatigue, dizziness

Release 10 — day 0, dose 3

2021-11-20

Systemic reaction (other): Lightheadedness

Release 10 — day 14, dose 3

2021-12-06

Symptoms: Intermittent hematuria since 12/1, Possible kidney stones per ultrasound, abdominal pain, cramps, urethral pain; plan: ct scan and cystoscopy

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	Abdominal pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haematuria	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Urethral pain	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oral hyperaesthesia	○	✓	○
SRO	Pain in extremity	✓	✓	✓
SRO	Temperature intolerance	✓	·	✓

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