62E-32197-64330

5 vaccinations 13 coded responses 40 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 381 / TN
Registered: 2021-01-26

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

Timeline

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-26
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus drainage and Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Bedridden, Chills, Diarrhoea, Hyperhidrosis, Malaise, Moaning, Pain, Pyrexia, Somnolence — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: I began to feel really aching last night then after lying down I slept and awakened with a high fever, was moaning, aching, had chills and became drenched with sweat. I was too sick to feel like getting up to take my temperature. I slept several hours then when I awakened again I had diarrhea. Later I felt better and had no more fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 42, dose 2
MedDRA: Headache, Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair

Free text: Headaches and sinus stuffiness for about 5-7 days with sore throat and post nasal drip - probably related to pollen and humidity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-03
Survey response — 12 months, dose 2
MedDRA: Cellulitis, Hospitalisation, Infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I was recently hospitalized four days for IV antibiotics due to complications from an infection that led to cellulitis in my leg. It has resolved now. ALSO- for the record, I had my Pfizer Booster shot for Covid protection last December 2021.

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-04-14
Dose 4 — Pfizer-BioNTech
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Survey response — 3 months, dose 4
MedDRA: Diastolic dysfunction, Office visit — Feeling: Fair

Free text: My cardiologist told me I have "diastolic dysfunction"

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Dose 5 — Pfizer-BioNTech
Co-administered: Pneumonia
2022-10-13
Survey response — day 28, dose 5
MedDRA: Unevaluable event — 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 · Emergency room or emergency department visit, Hospitalization

Free text: I just completed this survey within the last hour! Did you not get it?

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Cardiac failure, Cellulitis, Hospitalisation, Left ventricular dysfunction, Sepsis, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Heart failure due to Left Diastolic Ventricular Dysfunction. I was hospitalized in Feb 2022 with left lower leg cellulitis, sepsis and heart failure. · Healthcare visit (other): I received another Covid-19 vaccine booster shot on 9/12/22 (Pfizer 2v) Lot GH9702

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-13
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-14
Call 2 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail
2022-12-12
Survey response — 3 months, dose 5
MedDRA: Influenza, Influenza A virus test positive, Medical counselling, Office visit, SARS-CoV-2 test negative — Feeling: Good · 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: Symptoms: Flu symptoms on 11/2/22, confirmed type A influenza by test at dr office on 11/3. Covid test was negative. · Healthcare visit (other): Via phone call, instructed to drive to dr office, nurse came to car to perform testing in parking lot area.

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-13
Call 3 — Left Voicemail
2022-12-13
Call 2 — Left Voicemail
2022-12-13
Call 2 — Left Voicemail
2022-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-11-08	Pfizer-BioNTech	Flu
4	2022-04-14	Pfizer-BioNTech	No
5	2022-09-12	Pfizer-BioNTech	Pneumonia

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): No

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Sinus drainage and Sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): I began to feel really aching last night then after lying down I slept and awakened with a high fever, was moaning, aching, had chills and became drenched with sweat. I was too sick to feel like getting up to take my temperature. I slept several hours then when I awakened again I had diarrhea. Later I felt better and had no more fever.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Headaches and sinus stuffiness for about 5-7 days with sore throat and post nasal drip - probably related to pollen and humidity

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: I was recently hospitalized four days for IV antibiotics due to complications from an infection that led to cellulitis in my leg. It has resolved now. ALSO- for the record, I had my Pfizer Booster shot for Covid protection last December 2021.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): No

2022-04-20

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): None

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: My cardiologist told me I have "diastolic dysfunction"

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Heart failure due to Left Diastolic Ventricular Dysfunction. I was hospitalized in Feb 2022 with left lower leg cellulitis, sepsis and heart failure.

Healthcare visit (other): I received another Covid-19 vaccine booster shot on 9/12/22 (Pfizer 2v) Lot GH9702

Release 12 — day 28, dose 5

2022-10-13

Symptoms: I just completed this survey within the last hour! Did you not get it?

Release 12 — 3 months, dose 5

2022-12-12

Symptoms: Flu symptoms on 11/2/22, confirmed type A influenza by test at dr office on 11/3. Covid test was negative.

Healthcare visit (other): Via phone call, instructed to drive to dr office, nurse came to car to perform testing in parking lot area.

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cardiac failure	·	·	✓
SD	Cellulitis	·	·	✓
SD	Diastolic dysfunction	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Infection	·	·	✓
SD	Influenza	·	·	✓
SD	Influenza A virus test positive	·	·	✓
SD	Left ventricular dysfunction	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sepsis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Bedridden	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Moaning	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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