6VW-28210-35821

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 800 / CO
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Survey response — day 0, dose 1
MedDRA: Headache, Migraine, Pre-existing disease — Feeling: Good

Free text: I had a headache to start the day with and it did worsen after the injection. But I am subject to migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Migraine, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I'm not sure if the headache is the BC ac or triggered by the weather. I am prone to migraines. I have had heartburn evev while on omeprazole.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Can't tell for SURE if this is IBS or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: I am prone to migraines, so I am not sure that tht headache is related to the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: I am prone to migraines. Have osteo-arthritis and chronic fatigue/tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: I don't know if symptoms related to vaccine. I sort of doubt that it is as the weather is wet/snowy and cold here in (b)(6), Colorado.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Mobility decreased — Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I do not think my symptoms today are vaccine related. As I said before I have other conditions that produce these symptoms also. I have beeb unable to get comfortable for the last 24 hours. This AM I was uunable to do anything but go back to bed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Environmental exposure, Gastrooesophageal reflux disease, Hiatus hernia, Migraine, Office visit, Sensitivity to weather change — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased reflux due to large hiatal hernia. Continued migraines due to poor air quality and weather conditions. · Healthcare visit (other): Gastroenterology consult resulting in eged

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-09
Dose 3 — Pfizer-BioNTech
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-10-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-09	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-22

Systemic reaction (other): I had a headache to start the day with and it did worsen after the injection. But I am subject to migraines.

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): I'm not sure if the headache is the BC ac or triggered by the weather. I am prone to migraines. I have had heartburn evev while on omeprazole.

2021-02-28

Systemic reaction (other): Can't tell for SURE if this is IBS or not

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I am prone to migraines, so I am not sure that tht headache is related to the injection

2021-03-21

Systemic reaction (other): I am prone to migraines. Have osteo-arthritis and chronic fatigue/tiredness.

2021-03-23

Systemic reaction (other): I don't know if symptoms related to vaccine. I sort of doubt that it is as the weather is wet/snowy and cold here in (b)(6), Colorado.

redacted (b)(6)

2021-03-25

Systemic reaction (other): I do not think my symptoms today are vaccine related. As I said before I have other conditions that produce these symptoms also. I have beeb unable to get comfortable for the last 24 hours. This AM I was uunable to do anything but go back to bed.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Increased reflux due to large hiatal hernia. Continued migraines due to poor air quality and weather conditions.

Healthcare visit (other): Gastroenterology consult resulting in eged

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	·	·	✓
SD	Environmental exposure	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Hiatus hernia	·	·	✓
SD	Migraine	·	·	✓
SD	Sensitivity to weather change	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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