5YV-31752-09244

4 vaccinations 15 coded responses 38 check-ins 14 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 871 / NM
Registered: 2021-03-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Survey response — day 0, dose 1
MedDRA: Blood pressure increased, Dizziness — Feeling: Good · Site: Pain

Free text: Felt lightheaded for 1 1/2 after injection and slight blood pressure level

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Stress, Urinary tract infection — Feeling: Fair · Site: Pain

Free text: Some dizziness and stress triggering a UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): UTI became more severe, doctor confirmed it could have been from stress from vaccine. · Healthcare visit (other): Care fir UTi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Medical observation, Urinary tract infection — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): UTI worsen taking antibiotics...might have been triggered by vaccine · Healthcare visit (other): Antibiotic given for UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Urinary tract infection, Urinary tract pain — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work

Free text: UTI pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Seasonal allergy — Feeling: Fair

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Feeling extremely tired · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Headache, Office visit, Respiratory tract congestion, Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Have had severe UTI and now feeling fatigued, congested, stomach problems and headaches · Healthcare visit (other): Urgent care for UTI

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2021-10-20
Dose 3 — Pfizer-BioNTech
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-25
Dose 4 — Pfizer-BioNTech
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Nausea

Free text: Stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Back pain, Blister, Flank pain, Headache, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Painful breakout of blisters on back right side of body and headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-27
Call 1 — Could Not Reach Participant
2022-08-01
Call 2 — Could Not Reach Participant
2022-10-25
Survey response — 6 months, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · 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: Very bad allergies

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable - Accidental Reporting
2023-04-25
Survey response — 12 months, dose 4
MedDRA: Medical counselling, Tooth abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-25
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-04-25	Pfizer-BioNTech	No

Call center

7 call center cases

6 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): Felt lightheaded for 1 1/2 after injection and slight blood pressure level

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Some dizziness and stress triggering a UTI

2021-03-13

Systemic reaction (other): UTI became more severe, doctor confirmed it could have been from stress from vaccine.

Healthcare visit (other): Care fir UTi

2021-03-14

Systemic reaction (other): UTI worsen taking antibiotics...might have been triggered by vaccine

Healthcare visit (other): Antibiotic given for UTI

2021-03-15

Systemic reaction (other): UTI pain

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Seasonal allergies

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Seasonal allergies

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Seasonal allergies

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Feeling extremely tired

Healthcare visit (other): Chiropractor

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Have had severe UTI and now feeling fatigued, congested, stomach problems and headaches

Healthcare visit (other): Urgent care for UTI

Release 11 — days 1–6 daily, dose 4

2022-05-01

Systemic reaction (other): Stomach pain

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Painful breakout of blisters on back right side of body and headaches.

Release 12 — 6 months, dose 4

2022-10-25

Symptoms: Very bad allergies

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	Medical counselling	·	·	✓
HCVO	Medical observation	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Urinary tract infection	✓	✓	✓
SD	Back pain	·	·	✓
SD	Blister	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tooth abscess	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypersensitivity	○	○	○
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓
SRO	Urinary tract pain	○	✓	○

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