6WY-21048-81179

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ear pain (like an earache from an ear infection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Eczema — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Eczema is flaring up, earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 2
MedDRA: Cough, Throat irritation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, itchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 21, dose 2
MedDRA: Internal hernia, Surgery — Feeling: Poor · Be unable to do your normal daily activities

Free text: Went to surgery for internal hernia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Blood calcium decreased, Blood chloride decreased, Blood potassium decreased, Hospitalisation, Internal hernia, Liver function test decreased, Liver function test increased, Red blood cell count decreased, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hospitalization for internal hernia, low red blood count, white blood count, calcium, chloride, potassium, and low/high liver count levels.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Central venous catheterisation, General physical health deterioration, Hospitalisation, Internal hernia, Malabsorption, Malnutrition, Parenteral nutrition — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Internal hernia, declining health, malabsorption/malnutrition and currently on Total parenteral nutrition through PICC line. Just released from hospital Tuesday.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
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)
2021-07-29
Call 1 — Left Voicemail
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Central venous catheterisation, Hepatic lesion, Malnutrition, Office visit, Pelvic congestion, Septic shock, Vertebral lesion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lesion on spine, lesion on liver. Septic shock from PICC line. Malnutrition. Pelvic congestion syndrome. Need small intestine bypass. · Healthcare visit (other): In office visits. Catscan, MRI, EDG and colonoscopy.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Ear pain (like an earache from an ear infection)

2021-04-05

Systemic reaction (other): Earache

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Eczema is flaring up, earache

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Earache

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Sore throat, cough

2021-04-28

Systemic reaction (other): Sore throat

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Cough, itchy throat

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Went to surgery for internal hernia

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Hospitalization for internal hernia, low red blood count, white blood count, calcium, chloride, potassium, and low/high liver count levels.

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Internal hernia, declining health, malabsorption/malnutrition and currently on Total parenteral nutrition through PICC line. Just released from hospital Tuesday.

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Lesion on spine, lesion on liver. Septic shock from PICC line. Malnutrition. Pelvic congestion syndrome. Need small intestine bypass.

Healthcare visit (other): In office visits. Catscan, MRI, EDG and colonoscopy.

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	Blood calcium decreased	✓	✓	✓
SD	Blood chloride decreased	✓	✓	✓
SD	Blood potassium decreased	✓	✓	✓
SD	Central venous catheterisation	✓	·	✓
SD	General physical health deterioration	✓	·	✓
SD	Hepatic lesion	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Internal hernia	✓	✓	✓
SD	Liver function test decreased	✓	✓	✓
SD	Liver function test increased	✓	✓	✓
SD	Malabsorption	✓	·	✓
SD	Malnutrition	✓	·	✓
SD	Parenteral nutrition	✓	·	✓
SD	Pelvic congestion	·	·	✓
SD	Red blood cell count decreased	✓	✓	✓
SD	Septic shock	·	·	✓
SD	Surgery	✓	✓	✓
SD	Vertebral lesion	·	·	✓
SD	White blood cell count decreased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eczema	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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