5ZC-11554-84719

5 vaccinations 11 coded responses 42 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 323 / FL
Registered: 2021-02-25

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

Registered dependents

9EF-94798-19107 Child or adolescent in my care · Female · 2022-05-19

LWS-29649-48737 Child or adolescent in my care · Female · 2022-05-19

Timeline

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Tingling in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia — Feeling: Fair

Free text: Continued low grade fever and fatigue. Similar to a lupus flare. Fevers between 99.5 and 99.8. Frequent headaches also. One week after vaccination the injection site swelled dramatically, turned red and began itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Nausea

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-06
Dose 3 — Pfizer-BioNTech
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-04
Survey response — day 14, dose 4
MedDRA: Headache, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Experienced headache and fever

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Survey response — day 28, dose 4
MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, fever, cough fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — day 35, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continuing COVID

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-08
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-17
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-11-17
Survey response — 6 months, dose 4
MedDRA: Fatigue, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Fever, fatigue, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Survey response — day 14, dose 5
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to work or attend school

Free text: Severe headache and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-08
Survey response — day 28, dose 5
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, 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: Sore throat, cough, fever, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — day 28, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-11-06	Pfizer-BioNTech	No
4	2022-05-19	Pfizer-BioNTech	No
5	2022-11-08	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Tingling in joints

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Dizziness

2021-02-27

Systemic reaction (other): Dizziness/vertigo

2021-03-01

Systemic reaction (other): Sore throat

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Continued low grade fever and fatigue. Similar to a lupus flare. Fevers between 99.5 and 99.8. Frequent headaches also. One week after vaccination the injection site swelled dramatically, turned red and began itching.

Release 11 — day 14, dose 4

2022-06-04

Symptoms: Experienced headache and fever

Release 12 — day 28, dose 4

2022-06-16

Symptoms: Sore throat, fever, cough fatigue

Release 12 — day 35, dose 4

2022-06-23

Symptoms: Continuing COVID

Release 12 — 6 months, dose 4

2022-11-17

Symptoms: Fever, fatigue, body aches

Release 12 — day 14, dose 5

2022-11-24

Symptoms: Severe headache and nausea

Release 12 — day 28, dose 5

2022-12-08

Symptoms: Sore throat, cough, fever, congestion

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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