5VH-17646-93842

3 vaccinations 11 coded responses 17 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 871 / NM
Registered: 2021-01-20

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

Timeline

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

2021-01-11
Dose 1 — Pfizer-BioNTech
2021-01-20
Registered in v-safe
2021-01-20
Survey response — day 7, dose 1
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chills, Headache, Hyperhidrosis, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Last night severe joint pain, chills, sweats, headache and vertigo. I thought I should get a Covid test. Felt better this morning, just slight vertigo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Survey response — day 0, dose 2
MedDRA: Ageusia — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loss of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, achiness, stuffy nose, sore throat, fatigue and chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Headache, Injection site pruritus, Taste disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, joint pain, funny taste, and injection site itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Headache, Insomnia, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, headache, chest discomfort and difficulty falling asleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chest pain, Chills, Feeling abnormal, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Joint pain, chiills, headache, foggy memory, and left side chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Chills, Cough, Depressed mood, Fatigue, Headache, Hyperhidrosis, Memory impairment, Pain, Peripheral coldness, Pyrexia, Rhinorrhoea, Thinking abnormal, Tinnitus, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Feels like covid I had in October. Worse. Headache,runny nose, cough, fever, chills, skin cold to touch, break out in sweats, stomach/back sore, aches, pains, ringing right ear, chest pain, vertigo, forgetting, thinking unclear, fatigue, depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Alopecia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-08-28	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-20

Systemic reaction (other): Vertigo

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Last night severe joint pain, chills, sweats, headache and vertigo. I thought I should get a Covid test. Felt better this morning, just slight vertigo.

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Loss of taste

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Short of breath

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Headache, achiness, stuffy nose, sore throat, fatigue and chills.

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Headache, joint pain, funny taste, and injection site itching.

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Nausea, headache, chest discomfort and difficulty falling asleep.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Joint pain, chiills, headache, foggy memory, and left side chest pain

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Feels like covid I had in October. Worse. Headache,runny nose, cough, fever, chills, skin cold to touch, break out in sweats, stomach/back sore, aches, pains, ringing right ear, chest pain, vertigo, forgetting, thinking unclear, fatigue, depressed. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Hair loss

Release 9 — day 28, dose 3

2021-09-29

Symptoms: Fatigue

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	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Thinking abnormal	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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