GSS-32946-29768

3 vaccinations 7 coded responses 35 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 967 / HI
Registered: 2021-01-06

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

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Fatigue — Feeling: Fair

Free text: Bloating and fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash · Healthcare visit (other): Saw regular primary care physician.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 2 — Left Voicemail
2021-08-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-15
Dose 3 — Pfizer-BioNTech
2021-11-15
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Sneezing — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Patch of rash on stomach and behind left thigh

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Survey response — 3 months, dose 3
MedDRA: Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Major patches of rash appeated on legs, arms, & back

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-17
Call 1 — Left Voicemail
2022-05-16
Survey response — 6 months, dose 3
MedDRA: Alopecia, Office visit, Pain, Pre-existing disease, Pruritus, Scar, Skin lesion, Skin reaction, Skin ulcer, Trichorrhexis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: 1.) New symptoms are sores and formation staryed after booster...kind of similar to chicken pox outbreak. Gets tremendously itchy. Some are painful.. appears all over body. Especially legs & now arms. 2.) HAIR - fallout; breakage; VERY BRITTLE · Healthcare visit (other): In-person dr visits at her office

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Call 1 — Left Voicemail
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Asthma, COVID-19, Pre-existing disease, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: After BOOSTER# 1, Patches of rash are more prevalent! More frequent outbreaks & karher areas on legs & arms. Around Sept 2, 2022, i Caught COVID & triggered asthma which i havw not experienced in years.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-16
Call 3 — Left Voicemail
2022-11-16
Call 2 — Requested Callback
2022-11-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Bloating and fatigued

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Rash

Healthcare visit (other): Saw regular primary care physician.

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Sneezing

2021-11-21

Systemic reaction (other): Patch of rash on stomach and behind left thigh

Release 11 — 3 months, dose 3

2022-02-14

Symptoms: Major patches of rash appeated on legs, arms, & back

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: 1.) New symptoms are sores and formation staryed after booster...kind of similar to chicken pox outbreak. Gets tremendously itchy. Some are painful.. appears all over body. Especially legs & now arms. 2.) HAIR - fallout; breakage; VERY BRITTLE

Healthcare visit (other): In-person dr visits at her office

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: After BOOSTER# 1, Patches of rash are more prevalent! More frequent outbreaks & karher areas on legs & arms. Around Sept 2, 2022, i Caught COVID & triggered asthma which i havw not experienced in years.

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	Abdominal distension	✓	✓	✓
SD	Alopecia	·	·	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	✓	·	✓
SD	Scar	·	·	✓
SD	Skin lesion	·	·	✓
SD	Skin reaction	·	·	✓
SD	Skin ulcer	·	·	✓
SD	Trichorrhexis	·	·	✓
SRO	Rash	·	·	✓
SRO	Sneezing	·	·	✓

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