6VM-26211-86684

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 430 / OH
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: My asthma has been acting up a little recently and before the shot. I think it will continue for awhile and wanted to give you a heads up. When it comes to this should I just see it as a separate thing.

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

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Not sure this is due to the COVID shot or just my general health issues that flare up from time to time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These could also be do to my general health.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diverticulitis yet to be determined.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt a little spacey

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: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Brain Fog

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Eye disorder, Gastrointestinal disorder, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: UTI, Eye Problems, Stomach Problems

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-12-17
Dose 3 — Pfizer-BioNTech
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-12-17	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): My asthma has been acting up a little recently and before the shot. I think it will continue for awhile and wanted to give you a heads up. When it comes to this should I just see it as a separate thing.

2021-03-23

Systemic reaction (other): Not sure this is due to the COVID shot or just my general health issues that flare up from time to time.

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): These could also be do to my general health.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Diverticulitis yet to be determined.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Felt a little spacey

2021-04-10

Systemic reaction (other): Brain Fog

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: UTI, Eye Problems, Stomach Problems

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	Eye disorder	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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