JPL-32520-23840

5 vaccinations 12 coded responses 44 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 983 / WA
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Not feeling well

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

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Free text: Just feel off

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · 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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Dyspnoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea, breathing issue that required using my inhaler.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to work or attend school, 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: Diarrhea, moderate.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue, Headache, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, slight cough, low grade fever, headache, exhaustion, tired.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: I had what seemed like a cold fire about 3-4 days. Nothing major. Cough, mild Headache Fatigue Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Dose 4 — Pfizer-BioNTech
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Cough, Diarrhoea, Fatigue, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, diarrhea, mild fever, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-09-07
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-03
Survey response — day 21, dose 5
MedDRA: Asthenia, Cough, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Weaknesses, fatigue, cough, stuffy nose, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-19
Survey response — day 42, dose 5
MedDRA: Asthma, Smoke sensitivity — Feeling: Poor · Be unable to work or attend school, 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: Asthma due to smoke from wild fires. Nothing to due with covid or the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 42, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-07
Survey response — 3 months, dose 5
MedDRA: Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Felt like a cold, headache, stuffy and runny nose, very sore throat, exhsusted, slight cough that comes in fits.

MedDRA releases: 2024-11 · check-in free text available
2023-03-08
Survey response — 6 months, dose 5
MedDRA: Brain fog, COVID-19, Cough, Fatigue, Gastrointestinal disorder — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-08
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-03-09
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	2021-04-03	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-11-05	Pfizer-BioNTech	No
4	2022-04-03	Pfizer-BioNTech	No
5	2022-09-07	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Not feeling well

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Just feel off

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Diarrhea and nausea

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Diarrhea, breathing issue that required using my inhaler.

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Diarrhea, moderate.

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Congestion, slight cough, low grade fever, headache, exhaustion, tired.

Release 11 — 3 months, dose 3

2022-02-04

Symptoms: I had what seemed like a cold fire about 3-4 days. Nothing major. Cough, mild Headache Fatigue Nasal congestion

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Cough, diarrhea, mild fever, fatigue.

Release 12 — day 21, dose 5

2022-10-03

Symptoms: Weaknesses, fatigue, cough, stuffy nose, sore throat.

Release 12 — day 42, dose 5

2022-10-19

Symptoms: Asthma due to smoke from wild fires. Nothing to due with covid or the vaccine.

Release 12 — 3 months, dose 5

2022-12-07

Symptoms: Felt like a cold, headache, stuffy and runny nose, very sore throat, exhsusted, slight cough that comes in fits.

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	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Smoke sensitivity	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Malaise	✓	✓	✓

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