6CS-68644-01931

5 vaccinations 15 coded responses 34 check-ins 14 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 209 / MD
Registered: 2021-02-28

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Headache

Free text: Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Fatigue or tiredness

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Fibromyalgia, (b)(6) Syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 7, dose 2
MedDRA: Fibromyalgia, Pre-existing disease, Stickler's syndrome — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fibromyalgia, Stickler Syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling hot — Feeling: Poor · Be unable to do your normal daily activities

Free text: I feel very warm and very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Emergency care, Feeling hot, Headache, Neck pain, Viral infection — 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

Free text: Went to ER with neck pain, headache and feeling very hot. They did not find anything but said I probably had a virus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
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)
2021-06-29
Call 2 — Left Voicemail
2021-09-18
Dose 3 — Pfizer-BioNTech
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-09
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-16
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: A cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Survey response — 3 months, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Stuffy nose and congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Dose 4 — Pfizer-BioNTech
2022-03-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-25
Survey response — 3 months, dose 4
MedDRA: Diarrhoea, Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diarrhea and congestion · Healthcare visit (other): Pcp

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-26
Call 1 — Requested Callback
2022-05-26
Call 1 — Requested Callback
2022-05-26
Call 1 — Requested Callback
2022-05-26
Call successful
Not applicable - Accidental Reporting
2022-05-26
Call successful
Not applicable - Accidental Reporting
2022-05-26
Call successful
Not applicable - Accidental Reporting
2022-08-24
Survey response — 6 months, dose 4
MedDRA: Irritable bowel syndrome, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening of IBS · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-09
Dose 5 — Pfizer-BioNTech
2022-09-15
Survey response — days 1–6 daily, dose 5
MedDRA: Arthritis, Fibromyalgia, Stickler's syndrome — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fibromyalgia Stickler Syndrome Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-07
Survey response — day 28, dose 5
MedDRA: Knee operation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Knee surgery

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2022-10-13
Call 1 — Left Voicemail
2022-10-14
Survey response — day 35, dose 5
MedDRA: Knee arthroplasty — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Knee replacement

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-17
Call successful
Not applicable - Accidental Reporting
2022-10-17
Call successful
Not applicable - Accidental Reporting
2022-10-21
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-09
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-10
Survey response — 6 months, dose 5
MedDRA: Abdominal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-18	Pfizer-BioNTech	No
4	2022-02-23	Pfizer-BioNTech	No
5	2022-09-09	Pfizer-BioNTech	No

Call center

7 call center cases

6 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Migraines

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Fibromyalgia

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Fibromyalgia, (b)(6) Syndrome

redacted (b)(6)

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Fibromyalgia, Stickler Syndrome

Release 7 — day 21, dose 2

2021-04-15

Symptoms: I feel very warm and very tired.

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Sinus infection

Healthcare visit (other): Office visit

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Went to ER with neck pain, headache and feeling very hot. They did not find anything but said I probably had a virus.

Release 10 — day 28, dose 3

2021-10-16

Symptoms: A cold

Release 10 — 3 months, dose 3

2021-12-20

Symptoms: Stuffy nose and congestion.

Release 11 — 3 months, dose 4

2022-05-25

Symptoms: Diarrhea and congestion

Healthcare visit (other): Pcp

Release 12 — 6 months, dose 4

2022-08-24

Symptoms: Worsening of IBS

Healthcare visit (other): Office visit

Release 12 — days 1–6 daily, dose 5

2022-09-15

Systemic reaction (other): Fibromyalgia Stickler Syndrome Arthritis

Release 12 — day 28, dose 5

2022-10-07

Symptoms: Knee surgery

Release 12 — day 35, dose 5

2022-10-14

Symptoms: Knee replacement

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	Abdominal discomfort	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Knee arthroplasty	·	·	✓
SD	Knee operation	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Viral infection	✓	✓	✓
SRO	Arthritis	·	·	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Stickler's syndrome	·	·	✓

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