6N5-21834-73857

4 vaccinations 14 coded responses 51 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-04-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

GNH-17453-89123 Child or adolescent in my care · Female · 2021-11-11

Timeline

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Sinus headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Headache = sinuses; muscle aches/soreness from exercising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Throat irritation — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Throat irritation, thirstier than normal, decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 7, dose 1
MedDRA: Fatigue, Sinus headache — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus headache due to weather, fatigue due to allergy medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Pfizer-BioNTech
2021-05-05
Survey response — day 0, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: increase in general inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Congestion, asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Discharge, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tiredness

Free text: sore throat, nasal congestion, drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Paranasal sinus discomfort, Sinus congestion, Upper-airway cough syndrome, Viral infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Viral infection including sore throat, sinus pressure, nasal and sinus congestion, headache, fatigue and post-nasal drainage ongoing 1 week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Headache, Oropharyngeal pain, Sinus congestion — Feeling: Fair

Free text: Sinus congestion, headache and intermittent mild sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Discomfort, Disturbance in attention, Headache, Hypoaesthesia, Loss of proprioception, Nausea, Night sweats, Photosensitivity reaction, Speech disorder, Visual impairment — Feeling: Fair · 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

Free text: Facial numbing/heaviness, visual disturbance, focal issues, speech issues, hand/arm numbing, loss of proprioception, nausea, headache, photosensitivity, night sweats

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
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)
2021-10-15
Call 2 — Could Not Reach Participant
2021-10-20
Call 3 — Could Not Reach Participant
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Cognitive disorder, Headache, Hypoaesthesia, Migraine, Nausea, Photosensitivity reaction, Pre-existing disease, Speech disorder, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: migraine - newly diagnosed due to marked worsening of pre-existing symptoms and addition of new symptoms (nausea, headache, visual blurring, cognitive and speech issues, facial numbing, photosensitivity)

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-07
Health check-in — day 0, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-09
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Lymph node pain — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Entire shoulder/armpit (lymph nodes) involvement for pain, but limited to just that region

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-13
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal discomfort, Defaecation urgency, Faeces soft, Frequent bowel movements — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Free text: Repeated soft stool in larger than normal quantity with urgency and GI upset, but not loose/watery to the point of diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-21
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Diarrhoea, Dyspepsia, Nausea, Regurgitation, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: 3 days of nausea & GI distress including dyspepsia & diarrhea. Mostly able to function with medication (immodium), lost one morning to nausea. No complete emesis, though some repeated regurgitation when swallowing medication. Duration: 09/15-18.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-05
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-08
Survey response — 6 months, dose 4
MedDRA: Hypoaesthesia, Intervertebral disc degeneration, Joint dislocation, Joint injury, Ligament injury, Office visit, Physiotherapy — Feeling: Fair · 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
2023-03-08
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-09
Call 1 — Left Voicemail
2023-03-09
Call 1 — Left Voicemail
2023-03-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-10
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	2021-04-14	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No
4	2022-09-07	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Headache = sinuses; muscle aches/soreness from exercising

2021-04-16

Systemic reaction (other): Throat irritation, thirstier than normal, decreased appetite

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Sinus headache due to weather, fatigue due to allergy medication

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): increase in general inflammation

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Congestion, asthma

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): sore throat, nasal congestion, drainage

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Viral infection including sore throat, sinus pressure, nasal and sinus congestion, headache, fatigue and post-nasal drainage ongoing 1 week.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Sinus congestion, headache and intermittent mild sore throat.

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Facial numbing/heaviness, visual disturbance, focal issues, speech issues, hand/arm numbing, loss of proprioception, nausea, headache, photosensitivity, night sweats

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: migraine - newly diagnosed due to marked worsening of pre-existing symptoms and addition of new symptoms (nausea, headache, visual blurring, cognitive and speech issues, facial numbing, photosensitivity)

Release 12 — days 1–6 daily, dose 4

2022-09-09

Systemic reaction (other): Entire shoulder/armpit (lymph nodes) involvement for pain, but limited to just that region

2022-09-13

Systemic reaction (other): Repeated soft stool in larger than normal quantity with urgency and GI upset, but not loose/watery to the point of diarrhea.

Release 12 — day 14, dose 4

2022-09-21

Symptoms: 3 days of nausea & GI distress including dyspepsia & diarrhea. Mostly able to function with medication (immodium), lost one morning to nausea. No complete emesis, though some repeated regurgitation when swallowing medication. Duration: 09/15-18.

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Discomfort	✓	·	✓
SD	Disturbance in attention	✓	·	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Intervertebral disc degeneration	·	·	✓
SD	Joint dislocation	·	·	✓
SD	Joint injury	·	·	✓
SD	Ligament injury	·	·	✓
SD	Loss of proprioception	✓	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	·	✓
SD	Night sweats	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Photosensitivity reaction	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Regurgitation	·	·	✓
SD	Self-medication	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Speech disorder	✓	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Viral infection	✓	✓	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Defaecation urgency	·	·	✓
SRO	Discharge	✓	✓	✓
SRO	Faeces soft	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Frequent bowel movements	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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