CMM-15774-00948

4 vaccinations 7 coded responses 28 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 601 / IL
Registered: 2021-04-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

8MJ-10049-80284 Child or adolescent in my care · Female · 2022-09-10

EQY-28027-40157 Child or adolescent in my care · Male · 2022-09-10

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-23
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-05-06
Survey response — 12 months, dose 2
MedDRA: Brain fog, Dyspnoea, Fatigue, Hypothyroidism, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hypothyroidism, brain fog, fatigue, shortness of breath, heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-09-10
Dose 4 — Pfizer-BioNTech
2022-09-10
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Heart pounding

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-26
Survey response — day 14, dose 4
MedDRA: Dyspnoea, Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart palpitations and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-27
Call 2 — Left Voicemail
2022-09-27
Call 1 — Left Voicemail
2022-10-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-15
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Survey response — day 42, dose 4
MedDRA: Heart rate increased, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Palpitations and rapid heartbeat

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-26
Call 3 — Left Voicemail
2022-10-26
Call 2 — Left Voicemail
2022-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-23	Pfizer-BioNTech	Flu
4	2022-09-10	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Dizziness

2021-05-08

Systemic reaction (other): Dizzy

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Hypothyroidism, brain fog, fatigue, shortness of breath, heart palpitations

Release 12 — days 1–6 daily, dose 4

2022-09-11

Systemic reaction (other): Heart pounding

2022-09-16

Systemic reaction (other): Heart palpitations

Release 12 — day 14, dose 4

2022-09-26

Symptoms: Heart palpitations and shortness of breath

Release 12 — day 42, dose 4

2022-10-25

Symptoms: Palpitations and rapid heartbeat

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	Brain fog	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypothyroidism	·	·	✓
SD	Palpitations	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Palpitations	·	·	✓

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