6VS-12850-93422

4 vaccinations 16 coded responses 35 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 217 / MD
Registered: 2021-03-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

DGG-28710-75854 Other · Male · 2021-07-13

Timeline

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Chills last night at bed time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Good

Free text: Thristy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 7, dose 1
MedDRA: Thirst — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Thirsty than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headaches last 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No feel great, like new

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Good · Fatigue or tiredness

Free text: Thristy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Light headed dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad headaches for a week and dizzy, light headed, muscle aches , fatigue.

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

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · 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: Lost taste and smell for a little While. doing ok now

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call 1 — Left Voicemail
2021-12-22
Dose 3 — Pfizer-BioNTech
2022-01-01
Survey response — day 7, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Test positive for 29 Dec 2021,Covid-19

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Survey response — day 21, dose 3
MedDRA: COVID-19, Cough, Quarantine, Respiratory tract congestion, SARS-CoV-2 test, Secretion discharge — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed on Dec 29 Positive COVID-19 after 10 day quarantine I still have a continued cough and mucus congestion. · Healthcare visit (other): Just a COVID-19 test on Dec 29 no call to see dr. or check on me.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-19
Survey response — day 28, dose 3
MedDRA: Cough, Parosmia, Respiratory tract congestion, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: A constant cough and congestion, taste and smile are off a little.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-03-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Dose 4 — Moderna
2022-06-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-09
Survey response — day 28, dose 4
MedDRA: Office visit, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vision blared , have new glasses helps a little · Healthcare visit (other): See eye doctor

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-16
Survey response — day 35, dose 4
MedDRA: Ageusia — Feeling: Good

Free text: Lost of taste on and off

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — day 42, dose 4
MedDRA: Pre-existing disease, Unevaluable event, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye vision is still off even after getting new prescription. · Healthcare visit (other): New eyeglass prescription

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-24
Call 1 — Left Voicemail
2022-08-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-14
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-12-22	Pfizer-BioNTech	No
4	2022-05-12	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Chills last night at bed time.

2021-03-27

Systemic reaction (other): Thristy

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Thirsty than normal

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Severe headaches last 2 days

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Flushed

2021-04-15

Systemic reaction (other): No feel great, like new

2021-04-19

Systemic reaction (other): Thristy

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Light headed dizzy

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Bad headaches for a week and dizzy, light headed, muscle aches , fatigue.

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Lost taste and smell for a little While. doing ok now

Release 10 — day 7, dose 3

2022-01-01

Systemic reaction (other): Test positive for 29 Dec 2021,Covid-19

Release 10 — day 21, dose 3

2022-01-12

Symptoms: Diagnosed on Dec 29 Positive COVID-19 after 10 day quarantine I still have a continued cough and mucus congestion.

Healthcare visit (other): Just a COVID-19 test on Dec 29 no call to see dr. or check on me.

Release 10 — day 28, dose 3

2022-01-19

Symptoms: A constant cough and congestion, taste and smile are off a little.

Release 12 — day 28, dose 4

2022-06-09

Symptoms: Vision blared , have new glasses helps a little

Healthcare visit (other): See eye doctor

Release 12 — day 35, dose 4

2022-06-16

Symptoms: Lost of taste on and off

Release 12 — day 42, dose 4

2022-06-23

Symptoms: Eye vision is still off even after getting new prescription.

Healthcare visit (other): New eyeglass prescription

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	SARS-CoV-2 test	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Taste disorder	·	·	✓
SD	Vision blurred	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Thirst	✓	✓	✓

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