66P-20364-16438

4 vaccinations 6 coded responses 19 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 949 / CA
Registered: 2021-02-20

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

Timeline

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

2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-20
Registered in v-safe
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Note. Received Moderna vaccine. Not Pfizer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2022-04-06
Dose 4 — Moderna
Co-administered: Pneumonia
2022-04-26
Survey response — day 14, dose 4
MedDRA: Angina pectoris, Mobility decreased, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing angina. Muscle aches and pain. For 2 days after 4th booster and pneumonia shot almost unable to get out of bed because of muscle and ache pain for 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 21, dose 4
MedDRA: Cardiac disorder, Hospitalisation — 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: Heart issues. Had to be hospitalized for heart catheterization. Don't think it was caused by booster

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — day 21, 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)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-08
Survey response — day 28, dose 4
MedDRA: Chest pain, Dizziness, Exercise tolerance decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Very dizzy. Inable to exercise. Have anappointment with my Cardiologist on 5.11.22. Still having problems with chest pain. Will also be making an appointment with my primary physician.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-19	Moderna
3	2021-11-26	Moderna	No
4	2022-04-06	Moderna	Pneumonia

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Dizziness

2021-02-23

Systemic reaction (other): Dizziness

2021-02-25

Systemic reaction (other): Note. Received Moderna vaccine. Not Pfizer.

Release 11 — day 14, dose 4

2022-04-26

Symptoms: Increasing angina. Muscle aches and pain. For 2 days after 4th booster and pneumonia shot almost unable to get out of bed because of muscle and ache pain for 2 days

Release 11 — day 21, dose 4

2022-04-29

Symptoms: Heart issues. Had to be hospitalized for heart catheterization. Don't think it was caused by booster

Release 11 — day 28, dose 4

2022-05-08

Symptoms: Very dizzy. Inable to exercise. Have anappointment with my Cardiologist on 5.11.22. Still having problems with chest pain. Will also be making an appointment with my primary physician.

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	Angina pectoris	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	·	·	✓
SD	Dizziness	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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