6BM-18379-73561

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 688 / NE
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Free text: My normal temp is around 96 so have a low grade fever but doing better tonight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Hospitalisation, Hypertension — Feeling: Fair · Be unable to do your normal daily activities

Free text: My blood pressure is reading very high. Last weekend was hospitalized because pulse was 30. They don't seem to think it was shot related at this time anyway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 35, dose 2
MedDRA: Blood iron decreased, Blood pressure decreased, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Can't seem to get and keep blood pressure down. Needed to get iron infusion for low hemoglobin counts. · Healthcare visit (other): Reg Dr office calls.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Cardiac pacemaker insertion, Heart rate decreased, Hospitalisation, Urinary tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Pulse dropped into the 20s and was in hospital for 5 days. They ended up putting in pacemaker. Also have had 2 UTIs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Urinary tract infection — Feeling: Good

Free text: Several UTIs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-02
Survey response — 12 months, dose 2
MedDRA: Carotid endarterectomy, 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: Had carotid artery surgery. Then was hospitalized over Christmas and almost died. Was 2 units down when admitted results of Warfrin.

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 12 months, dose 2
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)
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): My normal temp is around 96 so have a low grade fever but doing better tonight.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: My blood pressure is reading very high. Last weekend was hospitalized because pulse was 30. They don't seem to think it was shot related at this time anyway.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Can't seem to get and keep blood pressure down. Needed to get iron infusion for low hemoglobin counts.

Healthcare visit (other): Reg Dr office calls.

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Pulse dropped into the 20s and was in hospital for 5 days. They ended up putting in pacemaker. Also have had 2 UTIs.

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Several UTIs

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Had carotid artery surgery. Then was hospitalized over Christmas and almost died. Was 2 units down when admitted results of Warfrin.

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
HCVO	Office visit	✓	✓	✓
SD	Blood iron decreased	✓	✓	✓
SD	Blood pressure decreased	✓	✓	✓
SD	Cardiac pacemaker insertion	✓	✓	✓
SD	Carotid endarterectomy	·	·	✓
SD	Heart rate decreased	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓

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