6GM-25525-18203

5 vaccinations 10 coded responses 36 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 349 / FL
Registered: 2021-03-31

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Feeling ok, just getting very tired. About to go take a nap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pre-existing disease, Wheezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Wheezing & coughing. Not sure if related . I have asthma too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Good

Free text: Sore at injection site but not pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
2021-10-08
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site discomfort — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore at injection site, not painful

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: Fair · Fatigue or tiredness

Free text: Very tender, swollen area under arm pit on same dude as injection. A little painful

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good

Free text: Just some pain & swelling under arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Injection site pain — Feeling: Good

Free text: Soreness at injection site & under arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — day 42, dose 3
MedDRA: Back disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Back issues - I'm sure not related to injections. Got facet injections today.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Dose 4 — Pfizer-BioNTech
2022-09-16
Dose 5 — Moderna
Co-administered: Flu
2022-10-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-10
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

Free text: Got Covid in May

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-11
Call 1 — Left Voicemail
2022-10-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-18
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Survey response — 6 months, dose 5
MedDRA: Influenza, Upper respiratory tract infection — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-06-03	Pfizer-BioNTech	No
5	2022-09-16	Moderna	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Feeling ok, just getting very tired. About to go take a nap.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Wheezing & coughing. Not sure if related . I have asthma too.

2021-04-04

Systemic reaction (other): Sore at injection site but not pain.

Release 10 — days 1–6 daily, dose 3

2021-10-09

Systemic reaction (other): Sore at injection site, not painful

2021-10-10

Systemic reaction (other): Very tender, swollen area under arm pit on same dude as injection. A little painful

2021-10-11

Systemic reaction (other): Just some pain & swelling under arm

2021-10-12

Systemic reaction (other): Soreness at injection site & under arm

Release 10 — day 42, dose 3

2021-11-19

Symptoms: Back issues - I'm sure not related to injections. Got facet injections today.

Release 12 — 12 months, dose 3

2022-10-10

Symptoms: Got Covid in May

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 disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Influenza	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tenderness	·	·	✓
SRO	Wheezing	✓	✓	✓

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