6NX-19419-92159

3 vaccinations 15 coded responses 29 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: I may have eaten something and might not be due to vaccine with regard to diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Just the same

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None. I'm caregiver-tired normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Probably new eyeglasses inre headache and got up a couple times during the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Poor quality sleep — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Had windows open several inches for ventilation. Possible reason for feeling cold. Didn't sleep well last night. Little nap took care of that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Neckuscle pain may be sleep position

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Bowel movement irregularity, Diarrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Change in BM....is it vaccine exiting? Had diarrhea first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Caregiver Fatigue? Had BM problem at first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Pfizer-BioNTech
2021-12-14
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-15
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, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Constipationr

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bruise at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-21
Survey response — day 7, dose 3
MedDRA: Depressed mood — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Depressed

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Call 1 — Left Voicemail
2021-12-21
Call successful
Does not wish to fill out VAERS report
2021-12-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Sleeplessness

2021-03-21

Systemic reaction (other): I may have eaten something and might not be due to vaccine with regard to diarrhea

2021-03-22

Systemic reaction (other): None

2021-03-23

Systemic reaction (other): Just the same

2021-03-24

Systemic reaction (other): None. I'm caregiver-tired normal

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Probably new eyeglasses inre headache and got up a couple times during the night.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Had windows open several inches for ventilation. Possible reason for feeling cold. Didn't sleep well last night. Little nap took care of that

2021-04-10

Systemic reaction (other): Neckuscle pain may be sleep position

2021-04-11

Systemic reaction (other): Change in BM....is it vaccine exiting? Had diarrhea first shot

2021-04-12

Systemic reaction (other): Caregiver Fatigue? Had BM problem at first dose

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Headache

Release 10 — days 1–6 daily, dose 3

2021-12-18

Systemic reaction (other): Constipation

2021-12-19

Systemic reaction (other): Constipationr

2021-12-20

Systemic reaction (other): Bruise at injection site

Release 10 — day 7, dose 3

2021-12-21

Systemic reaction (other): Depressed

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	Headache	✓	✓	✓
SRO	Bowel movement irregularity	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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