6WB-31620-35503

5 vaccinations 9 coded responses 41 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 300 / GA
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
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 · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat started yesterday and still present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Abdominal pain, Occult blood positive, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Positive for hemoglobin in fecal occult blood test. Intermittent right upper abdominal pain, bloating, occasional fleeting sharp lower left abd pain before BM. · Healthcare visit (other): Pending appt and plan to schedule endoscopes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Fatigue, Gastric ulcer, Gastritis, Headache, Helicobacter infection, Myalgia, Pain in extremity, Pyrexia — Feeling: Fair · 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: Acute chronic gastritis and H pylori stomach ulcer. 3rd Pfizer Covid vaccine 10/05/21. Right arm pain, mild fever, fatigue, headache, and all over muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
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)
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Survey response — day 21, dose 3
MedDRA: Bone lesion, Chest pain, Heart rate decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pains; more episodes of heart rate in 40's; also discovered lesion in humerus.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 21, 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

Emergency room or emergency department visit · 1 call case(s)
2021-10-27
Call 3 — Left Voicemail
2021-10-27
Call 3 — Left Voicemail
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Moderna
2022-05-20
Survey response — day 21, dose 4
MedDRA: Back pain, Heart rate increased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fast pulse off and on. Also low back pain (strain).

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-27
Survey response — day 28, dose 4
MedDRA: Perineal pain, Perineal swelling — Feeling: Good

Free text: Pain and edema perineal area.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Survey response — 3 months, dose 4
MedDRA: Cough, Headache — Feeling: Fair

Free text: Coughing (night), headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Dose 5 — Moderna
Co-administered: Flu
2022-10-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 28, dose 5
MedDRA: Constipation, Fatigue — Feeling: Fair

Free text: Fatigue, constipation

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-15
Survey response — 3 months, dose 5
MedDRA: Back pain, Cough, Headache, Nasal congestion, Office visit, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-15
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-04-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No
4	2022-04-29	Moderna	No
5	2022-10-14	Moderna	Flu

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Sore throat started yesterday and still present.

Release 8 — day 42, dose 2

2021-05-21

Symptoms: Positive for hemoglobin in fecal occult blood test. Intermittent right upper abdominal pain, bloating, occasional fleeting sharp lower left abd pain before BM.

Healthcare visit (other): Pending appt and plan to schedule endoscopes.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Acute chronic gastritis and H pylori stomach ulcer. 3rd Pfizer Covid vaccine 10/05/21. Right arm pain, mild fever, fatigue, headache, and all over muscle aches.

Release 10 — day 21, dose 3

2021-10-26

Symptoms: Chest pains; more episodes of heart rate in 40's; also discovered lesion in humerus.

Release 11 — day 21, dose 4

2022-05-20

Symptoms: Fast pulse off and on. Also low back pain (strain).

Release 11 — day 28, dose 4

2022-05-27

Symptoms: Pain and edema perineal area.

Release 12 — 3 months, dose 4

2022-07-31

Symptoms: Coughing (night), headache

Release 12 — day 28, dose 5

2022-11-11

Symptoms: Fatigue, constipation

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	Unevaluable event	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bone lesion	·	·	✓
SD	Chest pain	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastric ulcer	·	·	✓
SD	Gastritis	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Helicobacter infection	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Occult blood positive	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Perineal pain	·	·	✓
SD	Perineal swelling	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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