6JQ-11913-55894

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-02-21

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild cough tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Nausea, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, stomach ache vomiting and then on Saturday explosive diarrhea from 8am til 5pm. Stomach cramps today. Will call doctor tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Dose 2 — Pfizer-BioNTech
2021-03-14
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Over the last few months Ive had some nausea and muscle joint pains not related to vaccine. If they worsen in the next few days I will assume it is vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Tenderness — Feeling: Fair · Muscle or body aches

Free text: Tenderness underarm of same arm as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Contusion — Feeling: Good

Free text: A huge bruise on my calf. No previous injuries

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Emergency care, Throat tightness, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I developed severe hives all over body including throat closing up. Had to go to ER

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-14	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Mild cough tightness in chest

Release 5 — day 14, dose 1

2021-03-07

Symptoms: Nausea, stomach ache vomiting and then on Saturday explosive diarrhea from 8am til 5pm. Stomach cramps today. Will call doctor tomorrow

Release 5 — day 0, dose 2

2021-03-14

Systemic reaction (other): Over the last few months Ive had some nausea and muscle joint pains not related to vaccine. If they worsen in the next few days I will assume it is vaccine related.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Tenderness underarm of same arm as injection

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: A huge bruise on my calf. No previous injuries

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: I developed severe hives all over body including throat closing up. Had to go to ER

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	Abdominal pain upper	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Nausea	✓	✓	✓
SD	Throat tightness	·	·	✓
SD	Urticaria	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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