DLS-69015-32479

4 vaccinations 6 coded responses 28 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 024 / MA
Registered: 2021-04-13

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

2021-04-11
Dose 1 — Pfizer-BioNTech
2021-04-13
Registered in v-safe
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-02
Dose 2 — Pfizer-BioNTech
2021-05-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — day 21, dose 2
MedDRA: Pre-eclampsia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Pre eclampsia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 21, 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)
2021-05-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Call 1 — Left Voicemail
2021-06-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — 3 months, dose 2
MedDRA: Blood pressure fluctuation, Paraesthesia oral — Feeling: Good · 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: wide variation in blood pressure and tingling in my lips.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
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
Call 1 — Left Voicemail
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Neuropathy peripheral, Swollen tongue — Feeling: Good · 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, Emergency room or emergency department visit

Free text: Ideopathic tongue swelling Peripheral neuropathy

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-03
Call 2 — Left Voicemail
2021-11-29
Dose 3 — Moderna
2022-05-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-09-09
Dose 4 — Moderna
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Survey response — day 14, dose 4
MedDRA: Sinusitis, Viral infection — Feeling: Poor · 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: Bad viral illness with sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 1 — Left Voicemail
2022-09-26
Call 1 — Left Voicemail
2022-10-02
Survey response — day 21, dose 4
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-23
Health check-in — day 42, dose 4
Feeling: Poor

Adult check-in
2023-03-10
Survey response — 6 months, dose 4
MedDRA: Neuropathy peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Pfizer-BioNTech
2	2021-05-02	Pfizer-BioNTech
3	2021-11-29	Moderna	No
4	2022-09-09	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-23

Symptoms: Pre eclampsia

Release 9 — 3 months, dose 2

2021-08-01

Symptoms: wide variation in blood pressure and tingling in my lips.

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: Ideopathic tongue swelling Peripheral neuropathy

Release 12 — day 14, dose 4

2022-09-23

Symptoms: Bad viral illness with sinus infection

Release 12 — day 21, dose 4

2022-10-02

Symptoms: Fatigue

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	Blood pressure fluctuation	✓	·	✓
SD	Fatigue	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Paraesthesia oral	✓	·	✓
SD	Pre-eclampsia	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Swollen tongue	·	·	✓
SD	Viral infection	·	·	✓

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