66Q-16860-15375

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 891 / NV
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Nausea

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Headache, Diarrhea

Free text: Lower back pain

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: Back pain — Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 1
MedDRA: Ear infection, Injection site pruritus — Feeling: Good

Free text: Injection site itching. Ear infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Delirium, Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheadedness, delirium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Appetite disorder, Back pain, Dizziness, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Neck pain, upper back pain, lightheadedness, lack of hunger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Neck pain, back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Gastrooesophageal reflux disease, Hiatus hernia, Nausea, Vomiting — Feeling: Fair · Be unable to work

Free text: GERD: Nausea and vomiting; attributed to a hiatal hernia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 42, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Acid reflux/GERD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Dysphagia, Oesophageal disorder — Feeling: Good

Free text: Esophagus isnt working correctly. Had a manometry and it only swallows correctly 45% of the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Arrhythmia, Brain fog, Dizziness, Heart rate increased, Syncope, Vertigo — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Fast heart rate, arrhythmia, dizziness, brain fog, vertigo, fainting

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 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

1 call case(s)
2021-08-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Cough, Fatigue, Myalgia, Pyrexia, Sensitive skin — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Cough, fever, skin sensitivity, extreme fatigue, joint and muscle pain.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Lower back pain

2021-01-26

Systemic reaction (other): Lower back pain

2021-01-27

Systemic reaction (other): Lower back pain

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): Lower back pain

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Injection site itching. Ear infection.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Lightheadedness, delirium

2021-02-11

Systemic reaction (other): Neck pain, upper back pain, lightheadedness, lack of hunger

2021-02-12

Systemic reaction (other): Neck pain, back pain

Release 5 — day 35, dose 2

2021-03-16

Symptoms: GERD: Nausea and vomiting; attributed to a hiatal hernia

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Acid reflux/GERD

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Esophagus isnt working correctly. Had a manometry and it only swallows correctly 45% of the time

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Fast heart rate, arrhythmia, dizziness, brain fog, vertigo, fainting

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Cough, fever, skin sensitivity, extreme fatigue, joint and muscle pain.

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	Arrhythmia	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	✓	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dysphagia	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Hiatus hernia	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oesophageal disorder	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sensitive skin	·	·	✓
SD	Syncope	✓	·	✓
SD	Vertigo	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Delirium	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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