6WK-29962-19014

3 vaccinations 15 coded responses 31 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 496 / MI
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Nasopharyngitis — Feeling: Good · Chills

Free text: I have had chills since beginning but get cold easily and no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Hot flashes with both 1 and 2 vaccine, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness

Free text: Sore Axillary node shot arm....but no abnormalty in actual injection site. Since night of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Painful Axillary node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: Node under injection arm. Sore but a little better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Diarrhea

Free text: Lymph nose injection arm mild pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness

Free text: Sore lymph node, much improved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness

Free text: Lymph node injection arm mild sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diarrhoea, Dizziness, Fatigue, Headache, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue worsened., VERY SEVERE HEADACHE LASTING 24 HOURS NOT RESPONSIVE TO ANAGESICS, VISION DISTURBANCE FOR 2 DAYS FROM TIME OF HEADACHE, SEVERE ANDOMINAL PAIN, SEVERE DIARRHEA, 3 DAYS, LIGHTHEADED , 99.6 TEMP, ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 28, dose 2
MedDRA: Fatigue, Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Excessive fatigue. GI issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 35, dose 2
MedDRA: Fatigue, Gastrointestinal disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening fatigue, stomach issues, pcp visit this week april 29, to evaluate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Fatigue, Feeling abnormal — 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 · Telehealth, virtual health, or email health consultation

Free text: Same as before, overwelming fatigue , diarrhea, only improving slowly, brain fog, and effects of taste and smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 42, 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)
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-05
Dose 3 — Pfizer-BioNTech
2022-04-23
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Fatigue, Headache, Lymphadenopathy, Pain — Feeling: Fair

Free text: Day 2 was mild to moderated headache..twinges, fatigue . Not as bad as with 2nd shot. swollen node shot arm x 1 1/2 weeks. *not as long as 2nd shot. Was better 2nd week then diarrhea x 4 days unsure if related.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-03
Survey response — day 28, dose 3
MedDRA: Gastrointestinal disorder, Parosmia, Pre-existing disease, Taste disorder — Feeling: Fair

Free text: SINCE VACCINE..CHANGE IN TASTE AND SMELL..as previous vaccine did. Not as bad as march 2020 when I was sick withprobable Covid..BUT WAS TESTED TOO LATE. mild GI issues..better than last report.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call successful
Does not wish to fill out VAERS report
2022-05-10
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-05
Survey response — 3 months, dose 3
MedDRA: Deafness, Ear discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hearing loss..ear pressure since May 8 · Healthcare visit (other): In office visit .seeing specialist

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2022-04-05	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): I have had chills since beginning but get cold easily and no fever

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Hot flashes with both 1 and 2 vaccine, mild

2021-03-25

Systemic reaction (other): Sore Axillary node shot arm....but no abnormalty in actual injection site. Since night of injection

2021-03-26

Systemic reaction (other): Painful Axillary node

2021-03-27

Systemic reaction (other): Node under injection arm. Sore but a little better

2021-03-28

Systemic reaction (other): Lymph nose injection arm mild pain

2021-03-29

Systemic reaction (other): Sore lymph node, much improved

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Lymph node injection arm mild sore

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Fatigue worsened., VERY SEVERE HEADACHE LASTING 24 HOURS NOT RESPONSIVE TO ANAGESICS, VISION DISTURBANCE FOR 2 DAYS FROM TIME OF HEADACHE, SEVERE ANDOMINAL PAIN, SEVERE DIARRHEA, 3 DAYS, LIGHTHEADED , 99.6 TEMP, ,

Release 7 — day 28, dose 2

2021-04-21

Symptoms: Excessive fatigue. GI issues

Release 8 — day 35, dose 2

2021-04-27

Symptoms: Worsening fatigue, stomach issues, pcp visit this week april 29, to evaluate

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Same as before, overwelming fatigue , diarrhea, only improving slowly, brain fog, and effects of taste and smell.

Release 11 — day 14, dose 3

2022-04-23

Symptoms: Day 2 was mild to moderated headache..twinges, fatigue . Not as bad as with 2nd shot. swollen node shot arm x 1 1/2 weeks. *not as long as 2nd shot. Was better 2nd week then diarrhea x 4 days unsure if related.

Release 11 — day 28, dose 3

2022-05-03

Symptoms: SINCE VACCINE..CHANGE IN TASTE AND SMELL..as previous vaccine did. Not as bad as march 2020 when I was sick withprobable Covid..BUT WAS TESTED TOO LATE. mild GI issues..better than last report.

Release 12 — 3 months, dose 3

2022-07-05

Symptoms: Hearing loss..ear pressure since May 8

Healthcare visit (other): In office visit .seeing specialist

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	Abdominal pain	✓	✓	✓
SD	Deafness	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Taste disorder	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓

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