6V6-14715-00382

3 vaccinations 10 coded responses 24 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 483 / MI
Registered: 2021-01-17

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

2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Nausea — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Ive had intermittent nausea with stomach upset since I got the vaccine. No history prior to vaccine of this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Fever · Nausea

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-21
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
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 35, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Amnesia — Feeling: Good

Free text: Memory loss

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-26
Dose 3 — Pfizer-BioNTech
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension — Feeling: Fair · Site: Pain · Chills, Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Weird bulges in my upper abdomen

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-04
Survey response — day 7, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Numbness and tingling left hand and forearm

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 14, dose 3
MedDRA: Hypoaesthesia, Induration, Paraesthesia, Pulse abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent tingly/numbness in left forearm and hand. Pulsations followed by hardening in the upper abdomen mostly LUQ.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 28, dose 3
MedDRA: Headache, Paraesthesia, Pulse abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, still having abnormal abdominal pulsations in the upper abdomen and left lower arm and hand tingling

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 3 months, dose 3
MedDRA: Unevaluable event — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: MVA.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Road traffic accident — Feeling: Fair · Be unable to do your normal daily activities

Free text: MVA

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech
3	2021-12-26	Pfizer-BioNTech	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Ive had intermittent nausea with stomach upset since I got the vaccine. No history prior to vaccine of this.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Upset stomach

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Abdominal pain

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Memory loss

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): Weird bulges in my upper abdomen

Release 10 — day 7, dose 3

2022-01-04

Systemic reaction (other): Numbness and tingling left hand and forearm

Release 10 — day 14, dose 3

2022-01-09

Symptoms: Intermittent tingly/numbness in left forearm and hand. Pulsations followed by hardening in the upper abdomen mostly LUQ.

Release 11 — day 28, dose 3

2022-01-25

Symptoms: Headache, still having abnormal abdominal pulsations in the upper abdomen and left lower arm and hand tingling

Release 11 — 3 months, dose 3

2022-03-29

Symptoms: MVA.

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: MVA

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	✓	✓	✓
SD	Amnesia	✓	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Induration	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pulse abnormal	·	·	✓
SD	Road traffic accident	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Paraesthesia	·	·	✓

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