6XA-16666-22647

2 vaccinations 16 coded responses 20 check-ins 16 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 968 / HI
Registered: 2021-10-04

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

2021-10-04
Registered in v-safe
2021-10-04
Dose 1 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 1
MedDRA: Listless, Malaise, Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Intense itching, and general malaise/ennui in re: doing tasks

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Survey response — day 14, dose 1
MedDRA: Fatigue, Sleep disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Terrible fatigue and disrupted sleep

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 2 — Pfizer-BioNTech
2021-10-25
Survey response — day 0, dose 2
MedDRA: Dysphagia, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache

Free text: Sore throat, difficulty swallowing

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Insomnia, Oral pain, Oropharyngeal pain, Stomatitis — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Free text: Inside mouth painful sores and "cuts" ~ like sensation. Crippling insomnia, sore throat difficulty swallowing

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Dysphonia, Mouth injury, Oral pain, Pharyngeal swelling, Stomatitis — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Painful Sores & cuts inside mouth which make it really difficult to eat; Swollen throat with hoarseness, difficulty swallowing,

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Oropharyngeal pain, Stomatitis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Loss of appetite, mouth sores inside, sore throat,

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Depression, Stomatitis — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Loss of appetite, inside of mouth sores/cuts, depression

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Oropharyngeal pain, Stomatitis — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat, raw sores in mouth, dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 7, dose 2
MedDRA: Decreased appetite, Oral pain, Oropharyngeal pain, Tinnitus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sores inside mouth, sore throat, loss of appetite, tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 14, dose 2
MedDRA: Dehydration, Dysphonia, Fatigue, Herpes zoster, Insomnia, Lethargy, Oropharyngeal pain, Pruritus, Throat irritation, Vertigo — 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, Outpatient clinic or urgent care clinic visit

Free text: Crazy itching, Shingles, vertigo, general lethargy, insomnia, sore scratchy, hoarse throat, dehydration, fatigue worsening

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — day 14, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail
2021-11-15
Survey response — day 21, dose 2
MedDRA: Cough, Dysphonia, Insomnia, Oropharyngeal pain, Poor quality sleep, Pruritus, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dry coughing, hacking, poor sleep/ insomnia, itchy arm, sore throat (on one side mostly), hoarse, weight loss

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — day 28, dose 2
MedDRA: Asthenia, Clumsiness, Dysphonia, Dyspnoea, Oropharyngeal pain, Vertigo, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued weight loss, sore/hoarse throat/voice, general weakness and an odd clumsiness (I'm a trained dancer, so this is very unusual), vertigo, shortness of breath doing minor tasks

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 35, dose 2
MedDRA: Asthenia, Cough, Decreased appetite, Diarrhoea, Dysphonia, Fatigue, Nausea, Oropharyngeal pain, Pyrexia, Weight decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Run down, fever, sore fhroat, hoarse throat, dry cough, nausea, no energy, weight loss, diarrhoea when eat, of appetite, fatigue & easily fatigued

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Abdominal pain, Chest pain, Cough, Decreased appetite, Dysphonia, Oropharyngeal pain, Pre-existing disease, Respiration abnormal, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain w/rumbly breathing~ also past few weeks but forget to mention, continued hoarse/raspy voice & sore throat, GI upset, continued weeks of dry/hacking cough, abdomen pain, loss of appetite, weight loss (I'm already V underweight so this=bad)

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — 3 months, dose 2
MedDRA: Chest pain, Decreased appetite, Depression, Dizziness, Dysstasia, Fall, Malabsorption, Pain, Pyrexia, Underweight, Vertigo — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Fever, malabsorption, body aches, increased vertigo and dizziness to the point i cannot stand or have fallen. Chest pain. Loss of appetite (I'm already v underweight), depression (This is completely new)

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-28
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-04	Pfizer-BioNTech	No
2	2021-10-25	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-05

Systemic reaction (other): Intense itching, and general malaise/ennui in re: doing tasks

2021-10-06

Systemic reaction (other): Loss of appetite

Release 10 — day 14, dose 1

2021-10-18

Symptoms: Terrible fatigue and disrupted sleep

Release 10 — day 0, dose 2

2021-10-25

Systemic reaction (other): Sore throat, difficulty swallowing

Release 10 — days 1–6 daily, dose 2

2021-10-26

Systemic reaction (other): Inside mouth painful sores and "cuts" ~ like sensation. Crippling insomnia, sore throat difficulty swallowing

2021-10-27

Systemic reaction (other): Painful Sores & cuts inside mouth which make it really difficult to eat; Swollen throat with hoarseness, difficulty swallowing,

2021-10-28

Systemic reaction (other): Loss of appetite, mouth sores inside, sore throat,

2021-10-30

Systemic reaction (other): Loss of appetite, inside of mouth sores/cuts, depression

2021-10-31

Systemic reaction (other): Sore throat, raw sores in mouth, dizziness

Release 10 — day 7, dose 2

2021-11-01

Systemic reaction (other): Sores inside mouth, sore throat, loss of appetite, tinnitus

Release 10 — day 14, dose 2

2021-11-08

Symptoms: Crazy itching, Shingles, vertigo, general lethargy, insomnia, sore scratchy, hoarse throat, dehydration, fatigue worsening

Release 10 — day 21, dose 2

2021-11-15

Symptoms: Dry coughing, hacking, poor sleep/ insomnia, itchy arm, sore throat (on one side mostly), hoarse, weight loss

Release 10 — day 28, dose 2

2021-11-22

Symptoms: Continued weight loss, sore/hoarse throat/voice, general weakness and an odd clumsiness (I'm a trained dancer, so this is very unusual), vertigo, shortness of breath doing minor tasks

Release 10 — day 35, dose 2

2021-11-30

Symptoms: Run down, fever, sore fhroat, hoarse throat, dry cough, nausea, no energy, weight loss, diarrhoea when eat, of appetite, fatigue & easily fatigued

Release 10 — day 42, dose 2

2021-12-08

Symptoms: Chest pain w/rumbly breathing~ also past few weeks but forget to mention, continued hoarse/raspy voice & sore throat, GI upset, continued weeks of dry/hacking cough, abdomen pain, loss of appetite, weight loss (I'm already V underweight so this=bad) cut off by CDC

Release 11 — 3 months, dose 2

2022-01-24

Symptoms: Fever, malabsorption, body aches, increased vertigo and dizziness to the point i cannot stand or have fallen. Chest pain. Loss of appetite (I'm already v underweight), depression (This is completely new)

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
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Asthenia	·	·	✓
SD	Chest pain	·	·	✓
SD	Clumsiness	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dehydration	·	·	✓
SD	Depression	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dysstasia	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Insomnia	·	·	✓
SD	Lethargy	·	·	✓
SD	Malabsorption	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiration abnormal	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Throat irritation	·	·	✓
SD	Underweight	·	·	✓
SD	Vertigo	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Depression	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysphagia	·	·	✓
SRO	Dysphonia	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Listless	·	·	✓
SRO	Malaise	·	·	✓
SRO	Mouth injury	·	·	✓
SRO	Oral pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pharyngeal swelling	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Stomatitis	·	·	✓
SRO	Tinnitus	·	·	✓

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