6KS-19181-08446

4 vaccinations 9 coded responses 43 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 170 / PA
Registered: 2021-02-11

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

2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash/hives past 3 days. Not suspected to be from vaccine but new, nonetheless. Unknown cause and resolving with multiple antihistamines and prednisone dose pack.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Broke out in hives but think it was an allergy to a bush.

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

1 call case(s)
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-30
Dose 3 — Pfizer-BioNTech
2021-11-30
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Some off and on dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Survey response — day 14, dose 3
MedDRA: Fatigue, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair

Free text: Aches, exhaustion, fever, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 28, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Congestion aches headache sore throat fever cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — day 28, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Survey response — day 35, dose 3
MedDRA: Cough, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, 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

Free text: Fever, cough, congestion, aches, you name it I got it

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Dose 4 — Moderna
Co-administered: Flu
2022-10-03
Health check-in — day 0, dose 4
Feeling: Fair · Fever · Headache, Nausea

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Ringing in my ears, foggy head

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-10-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-02
Survey response — 3 months, dose 4
MedDRA: Ankylosing spondylitis, 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-02
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No
4	2022-10-03	Moderna	Flu

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Ears ringing

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Rash/hives past 3 days. Not suspected to be from vaccine but new, nonetheless. Unknown cause and resolving with multiple antihistamines and prednisone dose pack.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Broke out in hives but think it was an allergy to a bush.

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Some off and on dizziness

Release 10 — day 14, dose 3

2021-12-14

Symptoms: Aches, exhaustion, fever, congestion

Release 10 — day 28, dose 3

2021-12-28

Symptoms: Congestion aches headache sore throat fever cough

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Fever, cough, congestion, aches, you name it I got it

Release 12 — days 1–6 daily, dose 4

2022-10-05

Systemic reaction (other): Ringing in my ears, foggy head

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	Ankylosing spondylitis	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Tinnitus	✓	✓	✓

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