678-20786-48761

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 967 / HI
Registered: 2021-09-11

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

2021-09-11
Registered in v-safe
2021-09-11
Dose 1 — Pfizer-BioNTech
2021-09-11
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-12
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Swelling · Muscle or body aches, Diarrhea

Free text: I received the inhection in right arm. Had more muscle pain in arm that didn't have the inhection

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Good

Free text: Some pressure in ears for a short time but went away quickly

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-09-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-09-25
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy, Poor quality sleep — Feeling: Fair

Free text: Lymph node slightly swollen under left arm. Not sleeping well but nothing that would stop me from going to work or carrying on with daily activities

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Dose 2 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea

Free text: Explosive Diarrhea!

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Swelling · 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

Free text: Lymph nodes swollen under arm and in neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Lymph node under arm swollen

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 2
MedDRA: Emotional distress — Feeling: Good · Site: Swelling

Free text: Overly Emotional...

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-10-09
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-10-18
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Food poisoning, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a case of food poisoning and it was really difficult to get over. Unsure if it was due to vaccine or not...lot of diarrhea and vomiting.

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach upset and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 28, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: digestion issues

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-05
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

Free text: I caught Covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-06
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-11	Pfizer-BioNTech	No
2	2021-10-02	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-12

Systemic reaction (other): I received the inhection in right arm. Had more muscle pain in arm that didn't have the inhection

2021-09-13

Systemic reaction (other): Some pressure in ears for a short time but went away quickly

Release 9 — day 14, dose 1

2021-09-25

Symptoms: Lymph node slightly swollen under left arm. Not sleeping well but nothing that would stop me from going to work or carrying on with daily activities

Release 9 — days 1–6 daily, dose 2

2021-10-03

Systemic reaction (other): Explosive Diarrhea!

Release 10 — days 1–6 daily, dose 2

2021-10-04

Systemic reaction (other): Lymph nodes swollen under arm and in neck

2021-10-05

Systemic reaction (other): Lymph node under arm swollen

2021-10-06

Systemic reaction (other): Overly Emotional...

Release 10 — day 14, dose 2

2021-10-18

Symptoms: I had a case of food poisoning and it was really difficult to get over. Unsure if it was due to vaccine or not...lot of diarrhea and vomiting.

Release 10 — day 21, dose 2

2021-10-23

Symptoms: Stomach upset and diarrhea

Release 10 — day 28, dose 2

2021-10-30

Symptoms: digestion issues

Release 12 — 12 months, dose 2

2022-10-05

Symptoms: I caught Covid

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	Abdominal discomfort	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Food poisoning	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Vomiting	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Emotional distress	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Myalgia	·	·	✓

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