6W4-12559-80308

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 330 / FL
Registered: 2021-02-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-21
Registered in v-safe
2021-02-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: None

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

Free text: Frequent tingling covering my head. I have been talking medications for the body aches and headaches which help. I just exhausted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Ear infection, Office visit, Skin burning sensation — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Burning thigh muscles and an ear infection. · Healthcare visit (other): In office visit 4 ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Burning sensation, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning feeling in thigh muscles. Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
Co-administered: Flu
2022-03-02
Survey response — 12 months, dose 2
MedDRA: Angioedema, Scab, Scratch — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Large hives that come and go all over me. I have scabs from scratching so much for months now.

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-03
Call 1 — Could Not Reach Participant
2022-03-08
Call 2 — Left Voicemail
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Headache, Memory impairment, Unevaluable event, Urticaria — 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

Free text: Symptoms: Daily headaches, forgetful and large hives. I've never had a problem with these before. It started a few months after the second Pfizer. · Healthcare visit (other): An on-going Prescription cream for the hives.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 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

1 call case(s)
2022-04-29
Call 1 — Could Not Reach Participant
2022-05-04
Call 2 — Could Not Reach Participant
2022-10-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-10-22	Moderna	Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): None

2021-03-04

Systemic reaction (other): Frequent tingling covering my head. I have been talking medications for the body aches and headaches which help. I just exhausted.

2021-03-05

Systemic reaction (other): None

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Burning thigh muscles and an ear infection.

Healthcare visit (other): In office visit 4 ear infection

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Burning feeling in thigh muscles. Very tired.

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Large hives that come and go all over me. I have scabs from scratching so much for months now.

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Daily headaches, forgetful and large hives. I've never had a problem with these before. It started a few months after the second Pfizer.

Healthcare visit (other): An on-going Prescription cream for the hives.

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	Ear infection	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
HCVO	Urticaria	·	·	✓
SD	Angioedema	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Memory impairment	·	·	✓
SD	Scab	·	·	✓
SD	Scratch	·	·	✓
SD	Skin burning sensation	✓	✓	✓
SD	Urticaria	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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