66H-27941-56774

4 vaccinations 9 coded responses 47 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 857 / AZ
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Nausea, Abdominal pain

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Abdominal pain

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Fatigue, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain. Knees and hips. Mild but worsening over last month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Lymph node swelling armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Swollen lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-20
Dose 4 — Moderna
2022-04-20
Health check-in — day 0, dose 4
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Fatigue, Nausea, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue for 5 days, nausea and diarrhea at onset for two days, mild sore throat for one day. Traveled out of state for one week and flew back 8 days ago. At home Covid tests all negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 28, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Still lymph node under left arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 35, dose 4
MedDRA: Fatigue, Headache, Throat irritation — Feeling: Fair

Free text: Mild headache, fatigue, scatchy throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-20
Survey response — 3 months, dose 4
MedDRA: Vitreous detachment, Vitreous haemorrhage — 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 · Outpatient clinic or urgent care clinic visit

Free text: Vitreous detachment with mild hemorrhage

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-21
Call 1 — Could Not Reach Participant
2022-07-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-22
Survey response — 12 months, dose 4
MedDRA: Diarrhoea, Fatigue, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-04-20	Moderna	No

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Fatigue, headache

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Joint pain. Knees and hips. Mild but worsening over last month.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Lymph node swelling armpit

2021-10-01

Systemic reaction (other): Swollen lymph node in armpit

Release 11 — day 21, dose 4

2022-05-11

Symptoms: Fatigue for 5 days, nausea and diarrhea at onset for two days, mild sore throat for one day. Traveled out of state for one week and flew back 8 days ago. At home Covid tests all negative.

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Still lymph node under left arm

Release 11 — day 35, dose 4

2022-05-26

Symptoms: Mild headache, fatigue, scatchy throat

Release 12 — 3 months, dose 4

2022-07-20

Symptoms: Vitreous detachment with mild hemorrhage

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	Arthralgia	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vitreous detachment	·	·	✓
SD	Vitreous haemorrhage	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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