6CG-33423-11182

5 vaccinations 4 coded responses 28 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 139 / NY
Registered: 2021-02-04

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

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Office visit, Skin cancer, Squamous cell carcinoma — Feeling: Good · 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: Symptoms: Skin cancer, squamous cell carcinoma · Healthcare visit (other): Outpatient visits to dermatologist and plastic surgeon. Outpatient surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Back disorder, Condition aggravated, Hepatic function abnormal, Hospitalisation, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · 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, Hospitalization

Free text: Symptoms: Back disorder has become worse; autoimmune disorders (MCTD, Lupus) have flared. · Healthcare visit (other): Auto immune crisis caused dysfunction of liver. Hospitalized for a couple days and taken off 4bof my daily meds. Liver is fine now but one of the d/c'd meds was plaquenil, so auto-immune disorders kept flaring. Recently started plaquenil again.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-08-20
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — 3 months, dose 3
MedDRA: Abdominal discomfort, Adverse reaction, Cough, Dyspepsia, Office visit, Pruritus, Sinus congestion, Vomiting, Wheezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Mostly allergy symptoms: sinus congestion, coughing, wheezing, itching. Also two bouts of GI upset-intense heartburn, vomiting · Healthcare visit (other): Visit to allergist

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2022-01-23
Dose 4 — Pfizer-BioNTech
2022-02-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-09
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-02
Survey response — 6 months, dose 5
MedDRA: Cough, Delusion, SARS-CoV-2 test positive, Vomiting, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	No
4	2022-01-23	Pfizer-BioNTech	No
5	2022-10-02	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Skin cancer, squamous cell carcinoma

Healthcare visit (other): Outpatient visits to dermatologist and plastic surgeon. Outpatient surgery

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Back disorder has become worse; autoimmune disorders (MCTD, Lupus) have flared.

Healthcare visit (other): Auto immune crisis caused dysfunction of liver. Hospitalized for a couple days and taken off 4bof my daily meds. Liver is fine now but one of the d/c'd meds was plaquenil, so auto-immune disorders kept flaring. Recently started plaquenil again.

Release 10 — 3 months, dose 3

2021-11-20

Symptoms: Mostly allergy symptoms: sinus congestion, coughing, wheezing, itching. Also two bouts of GI upset-intense heartburn, vomiting

Healthcare visit (other): Visit to allergist

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	Condition aggravated	✓	·	✓
HCVO	Hepatic function abnormal	✓	·	✓
HCVO	Hospitalisation	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Back disorder	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	·	·	✓
SD	Delusion	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Skin cancer	✓	✓	✓
SD	Squamous cell carcinoma	✓	✓	✓
SD	Systemic lupus erythematosus	✓	·	✓
SD	Vomiting	·	·	✓
SD	Wheezing	·	·	✓

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