6AN-72333-57887

4 vaccinations 20 coded responses 28 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 606 / IL
Registered: 2021-03-26

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

Timeline

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Arm tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm tingling/numbness (infrequent), runny nose that comes & goes,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — day 7, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches · Be unable to work

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Warm - sweating when doing activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Hyperhidrosis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea

Free text: Sweating with normal temperature, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Myalgia — Feeling: Good

Free text: Sporadic mild headaches, muscle pain on side of body where injection was given. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 21, dose 2
MedDRA: Headache, Menstrual disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Late period, infrequent headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Inflammation, Insomnia, Uterine spasm — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia, TSH level drop since 2nd shot, inflammation, uterine cramping post cycle, loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 42, dose 2
MedDRA: Menopausal symptoms, Menstruation irregular, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Menses is off since getting the shot. It was late this month, and Im experiencing worse PMS symptoms this month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Breast pain, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Bad lower back pain, breast pain/itchiness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Adnexa uteri pain, Hyperhidrosis, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Abdominal pain · Be unable to work or attend school

Free text: Sore throat, sweating while standing up for a few minutes, ovarian pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Breast pain, Lymphadenopathy, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Breast cyst pain, armpit lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — day 7, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Cramping, almost menstrual like.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 21, dose 3
MedDRA: Back pain, Breast cyst, Breast pain, Hot flush — Feeling: Fair

Free text: Intermittent hot flashes, breast cyst pain, lower back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — day 28, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — day 35, dose 3
MedDRA: Back pain, Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heavy menstrual cycle with moderate low back pain and cramps.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — day 42, dose 3
MedDRA: Back pain — Feeling: Good

Free text: Continued lower back pain since getting the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Back pain, Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heavier menstruation, worse menstrual cramps, lower back pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Brain fog, Gastrointestinal disorder, Pain in extremity, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Brain fog, GI issues, fatigue, leg pain post COVID infection in February 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-09-12
Dose 4 — Moderna
2022-09-12
Survey response — day 0, dose 4
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Chills, Headache, Nausea, Abdominal pain

Free text: Dizziness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-09-12	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): Arm tingling

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Arm tingling/numbness (infrequent), runny nose that comes & goes,

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Warm - sweating when doing activities

2021-04-18

Systemic reaction (other): Sweating with normal temperature, loss of appetite

2021-04-19

Systemic reaction (other): Loss of appetite

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Sporadic mild headaches, muscle pain on side of body where injection was given. Fatigue.

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Late period, infrequent headaches

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Insomnia, TSH level drop since 2nd shot, inflammation, uterine cramping post cycle, loss of appetite.

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Menses is off since getting the shot. It was late this month, and Im experiencing worse PMS symptoms this month.

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Bad lower back pain, breast pain/itchiness.

2021-10-25

Systemic reaction (other): Sore throat, sweating while standing up for a few minutes, ovarian pain.

2021-10-26

Systemic reaction (other): Breast cyst pain, armpit lymph node swelling

Release 10 — day 7, dose 3

2021-10-31

Systemic reaction (other): Cramping, almost menstrual like.

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Intermittent hot flashes, breast cyst pain, lower back pain.

Release 10 — day 28, dose 3

2021-11-21

Symptoms: Moderate lower back pain

Release 10 — day 35, dose 3

2021-11-28

Symptoms: Heavy menstrual cycle with moderate low back pain and cramps.

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Continued lower back pain since getting the booster.

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Heavier menstruation, worse menstrual cramps, lower back pain.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Brain fog, GI issues, fatigue, leg pain post COVID infection in February 2022.

Release 12 — day 0, dose 4

2022-09-12

Systemic reaction (other): Dizziness

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	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Breast cyst	·	·	✓
SD	Breast pain	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hot flush	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Menopausal symptoms	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Uterine spasm	✓	✓	✓
SRO	Adnexa uteri pain	·	·	✓
SRO	Back pain	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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