5VL-90216-65527

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 1 call case

Sex: —
Age at first dose: 36-40
ZIP prefix: 402 / KY
Registered: 2021-01-09

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-09
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Poor quality sleep — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: I just think I'm tired from not good quality sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Neck pain, Tenderness — Feeling: Fair · Site: Itching · Muscle or body aches

Free text: Swollen occipital lymph node same side as injection. Very tender and achy neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Muscle or body aches

Free text: Swollen occipital lymph node on same side as injection. Very tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 14, dose 1
MedDRA: Fatigue, Impaired work ability, Lymphadenopathy, Migraine, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph node enlargement occipital that caused severe migraines on Tuesday 1/19 with fatigue and nausea and called in to work Tuesday. Been feeling it since day 6 (1/14) after vaccine. Better as of 1/19 and lymph node is finally back to normal 1/21 .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

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

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

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding, Muscle spasms — Feeling: Good

Free text: Prolonged menstrual and worsening cramping, but minimal changes overall. Also still tolerable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Moderna
2021-12-20
Survey response — day 7, dose 3
MedDRA: Nephrolithiasis, Obstruction — Feeling: Fair · Nausea, Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): I was diagnosed 12/18 with an obstructed kidney stone. · Healthcare visit (other): 12/18 kidney stone, obstructed

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 7, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-12-22
Call 1 — Left Voicemail
2021-12-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-12-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): I just think I'm tired from not good quality sleep.

2021-01-14

Systemic reaction (other): Swollen occipital lymph node same side as injection. Very tender and achy neck.

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Swollen occipital lymph node on same side as injection. Very tender.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Lymph node enlargement occipital that caused severe migraines on Tuesday 1/19 with fatigue and nausea and called in to work Tuesday. Been feeling it since day 6 (1/14) after vaccine. Better as of 1/19 and lymph node is finally back to normal 1/21 . cut off by CDC

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: Prolonged menstrual and worsening cramping, but minimal changes overall. Also still tolerable.

Release 10 — day 7, dose 3

2021-12-20

Systemic reaction (other): I was diagnosed 12/18 with an obstructed kidney stone.

Healthcare visit (other): 12/18 kidney stone, obstructed

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	Nephrolithiasis	·	·	✓
HCVO	Obstruction	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nephrolithiasis	·	·	✓
SRO	Obstruction	·	·	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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