DWH-26757-55814

4 vaccinations 18 coded responses 51 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 974 / OR
Registered: 2021-04-04

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

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: Pain

Free text: vivid dreams; difficulty falling asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Apathy — Feeling: Good · Fatigue or tiredness

Free text: lowered motivation (or ability) to accomplish things (basic tasks), but maybe better than yesterday.

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: Asthenia, Loss of personal independence in daily activities — Feeling: Good

Free text: still trying to catch up on basics, still low availability of effort.

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Anger, Apathy, Gingival pain, Pain in jaw, Stress — Feeling: Good · Site: Pain · Headache

Free text: stress, anger, jaw pain, gum pain, lowered motivation (all mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Pfizer-BioNTech
2021-04-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: acute sadness, briefly (for about 10 minutes each time), yesterday morning around dawn and yesterday evening just after dusk

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: Eye irritation — Feeling: Good · Site: Pain · Headache

Free text: eyes burning as though allergic or overly dry (despite neither being the case)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus — Feeling: Good · Site: Pain

Free text: really itchy eyes despite my allergy meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 42, dose 2
MedDRA: Concussion, Contusion, Crying, Emergency care, Epistaxis, Fatigue, Irritability, Joint injury, Office visit, Pain, Road traffic accident — 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: Symptoms: got hit by a car, resulting in a scraped knee, bruised knee/thigh/hip/ribs, nosebleed, minor concussion, fatigue, irritability, weepiness, pain, etc. · Healthcare visit (other): was seen by EMTs, then later saw urgent care, and now have an upcoming follow-up with my primary care doctor in a couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Crying, Headache, Poor quality sleep, Road traffic accident — Feeling: Fair · 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: some increased incidence of headaches and weepiness and sleep wonkiness, since my bike accident on 3 June.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-08-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Stomatitis — Feeling: Good

Free text: a sore in my mouth, probably because i haven't been brushing well enough lately, from being tired and trying to catch up from tiredness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 7, dose 3
MedDRA: Appetite disorder, Energy increased — Feeling: Good

Free text: unusually high hunger, and higher energy levels to accomplish tasks.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 35, dose 3
MedDRA: Lacrimation increased, Rhinorrhoea, Sneezing — Feeling: Good

Free text: runny nose, lots of sneezing and watery eyes, especially when folding clean dry socks (they might have collected dust or something).

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — 3 months, dose 3
MedDRA: Elderly primigravida, Unevaluable event — 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: Symptoms: elderly primagravida in first trimester. · Healthcare visit (other): blood draw labs

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-25
Call 1 — Left Voicemail
2022-02-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-25
Survey response — 6 months, dose 3
MedDRA: Abortion missed, Cytogenetic abnormality — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: missed AB (chromosomal cause)

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-26
Call 1 — Left Voicemail
2022-05-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-08
Dose 4 — Pfizer-BioNTech
2022-09-08
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-09
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: decreased appetite

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: wildfire smoke is gross and pervasive (maybe not a relevant symptom)

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Chills

Adult check-in
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Smoke sensitivity — Feeling: Good

Free text: minor sore throat, likely from biking to run errands all afternoon yesterday despite the wildfire smoke.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — 3 months, dose 4
MedDRA: Vulvovaginal mycotic infection — Feeling: Good

Free text: yet another vaginal yeast infection. unrelated to vaccines.

MedDRA releases: 2024-11 · check-in free text available
2023-03-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Pfizer-BioNTech
2	2021-04-25	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-09-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-06	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-27	Successful 2021-08-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-23	Successful 2022-02-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-25	Successful 2022-05-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): vivid dreams; difficulty falling asleep

2021-04-06

Systemic reaction (other): lowered motivation (or ability) to accomplish things (basic tasks), but maybe better than yesterday.

2021-04-07

Systemic reaction (other): still trying to catch up on basics, still low availability of effort.

2021-04-10

Systemic reaction (other): stress, anger, jaw pain, gum pain, lowered motivation (all mild)

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): acute sadness, briefly (for about 10 minutes each time), yesterday morning around dawn and yesterday evening just after dusk

2021-04-28

Systemic reaction (other): eyes burning as though allergic or overly dry (despite neither being the case)

2021-04-29

Systemic reaction (other): really itchy eyes despite my allergy meds

Release 8 — day 42, dose 2

2021-06-06

Symptoms: got hit by a car, resulting in a scraped knee, bruised knee/thigh/hip/ribs, nosebleed, minor concussion, fatigue, irritability, weepiness, pain, etc.

Healthcare visit (other): was seen by EMTs, then later saw urgent care, and now have an upcoming follow-up with my primary care doctor in a couple of days.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: some increased incidence of headaches and weepiness and sleep wonkiness, since my bike accident on 3 June.

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): a sore in my mouth, probably because i haven't been brushing well enough lately, from being tired and trying to catch up from tiredness.

Release 10 — day 7, dose 3

2021-12-01

Systemic reaction (other): unusually high hunger, and higher energy levels to accomplish tasks.

Release 10 — day 35, dose 3

2021-12-29

Symptoms: runny nose, lots of sneezing and watery eyes, especially when folding clean dry socks (they might have collected dust or something).

Release 11 — 3 months, dose 3

2022-02-23

Symptoms: elderly primagravida in first trimester.

Healthcare visit (other): blood draw labs

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: missed AB (chromosomal cause)

Release 12 — days 1–6 daily, dose 4

2022-09-09

Systemic reaction (other): decreased appetite

2022-09-10

Systemic reaction (other): wildfire smoke is gross and pervasive (maybe not a relevant symptom)

Release 12 — day 42, dose 4

2022-10-21

Symptoms: minor sore throat, likely from biking to run errands all afternoon yesterday despite the wildfire smoke.

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: yet another vaginal yeast infection. unrelated to vaccines.

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abortion missed	·	·	✓
SD	Concussion	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Crying	✓	✓	✓
SD	Cytogenetic abnormality	·	·	✓
SD	Elderly primigravida	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Irritability	✓	✓	✓
SD	Joint injury	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Poor quality sleep	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Road traffic accident	✓	✓	✓
SD	Smoke sensitivity	·	·	✓
SD	Sneezing	·	·	✓
SD	Vulvovaginal mycotic infection	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Anger	✓	✓	✓
SRO	Apathy	✓	✓	✓
SRO	Appetite disorder	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Depressed mood	✓	✓	✓
SRO	Energy increased	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Gingival pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Stomatitis	·	·	✓
SRO	Stress	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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