6CB-28339-30778

5 vaccinations 15 coded responses 47 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 916 / CA
Registered: 2021-04-07

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

2021-03-13
Dose 1 — Pfizer-BioNTech
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: the same rash I've had for almost a week is just fading every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Abnormal faeces, Mucous stools, Tinnitus — Feeling: Good

Free text: * Tinnitus* unusual fecal substance (thought was tapeworm but was not segmented, more like mucus)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Influenza like illness, Malaise — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was unable to report my 3rd shot bc I was so sick (flu-like) on the 15th and 16th! Could not work.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: slight dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-28
Survey response — day 14, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Self-medication, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, itchy throat, congestion, wicked fatigue, suspected fever (not sure bc I was taking Tylenol for headache).

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: hot flashes (I have already gone through peri-/menopause and hadn't had any hot flashes for a couple years before getting my first booster shot)

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Dose 4 — Moderna
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Rash is expanding down my arm, worse than yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-06-29
Survey response — day 7, dose 4
MedDRA: Dry throat — Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Free text: Dry throat

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-03
Survey response — day 42, dose 4
MedDRA: Joint swelling, Memory impairment, Sinus congestion, Somnolence, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, slightly bothersome throat, sleepiness. Also, I have had a tendency to have my ankles swell when standing or sitting that's new since my first vaccine I just keep forgetting to report it. Memory issues!

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-04
Call 1 — Left Voicemail
2022-09-21
Survey response — 3 months, dose 4
MedDRA: Cough, Fatigue, Nasal congestion, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: fatigue, nasal congestion, throat irritation/cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Dose 5 — Moderna
2022-12-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-28
Survey response — 6 months, dose 4
MedDRA: Chills, Headache, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, aches, chills, headache, extremely sore arm bc I got a booster yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-05
Survey response — day 7, dose 5
MedDRA: Rhinorrhoea — Feeling: Good · Headache

MedDRA releases: 2024-11
2023-01-10
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2023-01-19
Survey response — day 21, dose 5
MedDRA: Throat irritation — Feeling: Fair

MedDRA releases: 2024-11
2023-02-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-02-07
Survey response — day 42, dose 5
MedDRA: Nasal congestion — Feeling: Fair

MedDRA releases: 2024-11
2023-03-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-06-27
Survey response — 6 months, dose 5
MedDRA: Laryngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No
4	2022-06-22	Moderna	No
5	2022-12-27	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): the same rash I've had for almost a week is just fading every day.

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: * Tinnitus* unusual fecal substance (thought was tapeworm but was not segmented, more like mucus)

Release 10 — days 1–6 daily, dose 3

2021-10-17

Systemic reaction (other): I was unable to report my 3rd shot bc I was so sick (flu-like) on the 15th and 16th! Could not work.

2021-10-18

Systemic reaction (other): slight dizziness

Release 10 — day 14, dose 3

2021-10-28

Symptoms: Sore throat, itchy throat, congestion, wicked fatigue, suspected fever (not sure bc I was taking Tylenol for headache).

Release 11 — 6 months, dose 3

2022-04-14

Symptoms: hot flashes (I have already gone through peri-/menopause and hadn't had any hot flashes for a couple years before getting my first booster shot)

Release 12 — days 1–6 daily, dose 4

2022-06-25

Systemic reaction (other): Rash is expanding down my arm, worse than yesterday

Release 12 — day 7, dose 4

2022-06-29

Systemic reaction (other): Dry throat

Release 12 — day 42, dose 4

2022-08-03

Symptoms: Sinus congestion, slightly bothersome throat, sleepiness. Also, I have had a tendency to have my ankles swell when standing or sitting that's new since my first vaccine I just keep forgetting to report it. Memory issues!

Release 12 — 3 months, dose 4

2022-09-21

Symptoms: fatigue, nasal congestion, throat irritation/cough

Release 12 — 6 months, dose 4

2022-12-28

Symptoms: Fever, aches, chills, headache, extremely sore arm bc I got a booster yesterday.

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	Abnormal faeces	✓	✓	✓
SD	Chills	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint swelling	·	·	✓
SD	Laryngitis	·	·	✓
SD	Memory impairment	·	·	✓
SD	Mucous stools	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Somnolence	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Influenza like illness	·	·	✓
SRO	Malaise	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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