EDZ-22560-43351

3 vaccinations 14 coded responses 31 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 272 / NC
Registered: 2021-03-16

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

Registered dependents

4FK-28801-67590 Child or adolescent in my care · Female · 2021-11-13

Timeline

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Survey response — day 0, dose 1
MedDRA: Disorientation, Poor quality sleep — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Mild disorientation but could be due to bad sleep night before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Mild disorientation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain in right hip flowing down whole leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: Chest pain, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Chest pain about 35 minutes after vaccine that did go away after about 3 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: More acid reflux than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Possible aggravation of acid or ulcer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Nausea, Diarrhea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Anion gap decreased, Dyspnoea, Fatigue, Unevaluable event, Vertigo — 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: Vertigo shortness of breath extreme exhaustion lasting more than one week low axion gap · Healthcare visit (other): Going back 7/15

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
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)
2021-07-22
Call 1 — Requested Callback
2021-07-22
Callback requested for
03:00PM ET
2021-07-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Cartilage injury, Cough, Skin infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Torn hip labral cartilage, consistent cough for about 4 months or so, immune system seems to ve less effective because I get infections of skin easirr it seems to me.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call 2 — Left Voicemail
2022-04-13
Survey response — 12 months, dose 2
MedDRA: Atelectasis, Gastritis, Renal neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastritis and small lesion on right kidney and mild alectrasis.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
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)
2022-04-14
Call 2 — Left Voicemail
2022-08-12
Dose 3 — Moderna
2022-08-16
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Chest pain intermittently

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-08-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache

Adult check-in
2022-08-19
Survey response — day 7, dose 3
MedDRA: Feeling jittery, Pre-existing disease, Restlessness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Jittery restless but probably my ADHD

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Survey response — day 21, dose 3
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair

Free text: Cold virus. Tested for Covid-19 and came back negative. Lingering cough.

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair

Free text: Occasional cold virus, no positive covid tests

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2023-02-12
Survey response — 6 months, dose 3
MedDRA: Depression, Tremor — 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

MedDRA releases: 2024-11
2023-02-12
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2022-08-12	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Mild disorientation but could be due to bad sleep night before

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Mild disorientation

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Joint pain in right hip flowing down whole leg.

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Chest pain about 35 minutes after vaccine that did go away after about 3 minutes

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): More acid reflux than normal

2021-04-15

Systemic reaction (other): Possible aggravation of acid or ulcer

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Vertigo shortness of breath extreme exhaustion lasting more than one week low axion gap

Healthcare visit (other): Going back 7/15

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Torn hip labral cartilage, consistent cough for about 4 months or so, immune system seems to ve less effective because I get infections of skin easirr it seems to me.

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Gastritis and small lesion on right kidney and mild alectrasis.

Release 12 — days 1–6 daily, dose 3

2022-08-16

Systemic reaction (other): Chest pain intermittently

Release 12 — day 7, dose 3

2022-08-19

Systemic reaction (other): Jittery restless but probably my ADHD

Release 12 — day 21, dose 3

2022-09-02

Symptoms: Cold virus. Tested for Covid-19 and came back negative. Lingering cough.

Release 12 — day 28, dose 3

2022-09-10

Symptoms: Occasional cold virus, no positive covid tests

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	Unevaluable event	✓	✓	✓
SD	Anion gap decreased	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Atelectasis	·	·	✓
SD	Cartilage injury	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastritis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Renal neoplasm	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin infection	·	·	✓
SD	Tremor	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Feeling jittery	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Restlessness	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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