6YZ-76828-66004

4 vaccinations 9 coded responses 28 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 292 / SC
Registered: 2021-02-03

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

2021-01-12
Dose 1 — Pfizer-BioNTech
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Good · Site: Swelling · Muscle or body aches, Diarrhea

Free text: Had numerous bouts of diarrhea six hours after shot yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Dyspnoea exertional — Feeling: Good

Free text: Shortness of breath when walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 35, dose 2
MedDRA: Sacroiliitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sarco ilietis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Office visit, Sacroiliitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sacroiliitis · Healthcare visit (other): Internist, spine orthopedist, gastroenterologist PA, gynecologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Pain, Rhinorrhoea, Sinus disorder — Feeling: Fair · 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: Runny noseNo feverSore throat tender sinusesAchy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
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)
2021-08-05
Call 1 — Left Voicemail
2021-08-06
Call 2 — Left Voicemail
2021-08-11
Call 3 — Left Voicemail
2021-08-12
Call X — Left Voicemail
2021-09-12
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-13
Survey response — 6 months, dose 3
MedDRA: COVID-19, Rhinorrhoea, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have had two COVID cases, August and January. Had antibody infusion in January. Recently had 10-day upper respiratory infection and took antibiotic. Unable to recover from runny nose since August.

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-05-17
Dose 4 — Pfizer-BioNTech
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Mobility decreased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Had to stay in bed all day the next day with diarrhea two days later

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Headache

Free text: Sharp shooting pains last 24 hours in left temple

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-09-12	Pfizer-BioNTech	No
4	2022-05-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Had numerous bouts of diarrhea six hours after shot yesterday.

2021-02-08

Systemic reaction (other): Shortness of breath

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): Shortness of breath when walking

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Sarco ilietis

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Sacroiliitis

Healthcare visit (other): Internist, spine orthopedist, gastroenterologist PA, gynecologist

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Runny noseNo feverSore throat tender sinusesAchy

Release 11 — 6 months, dose 3

2022-03-13

Symptoms: Have had two COVID cases, August and January. Had antibody infusion in January. Recently had 10-day upper respiratory infection and took antibiotic. Unable to recover from runny nose since August.

Release 11 — days 1–6 daily, dose 4

2022-05-20

Systemic reaction (other): Had to stay in bed all day the next day with diarrhea two days later

2022-05-21

Systemic reaction (other): Sharp shooting pains last 24 hours in left temple

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	COVID-19	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sacroiliitis	✓	✓	✓
SD	Sinus disorder	✓	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	·	✓
SRO	Headache	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Pain	·	·	✓

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