M38-10124-28483

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 837 / ID
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Stress — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: feeling of anxiety and stress with how my body is reacting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-11
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: A dentist appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, 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)
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Rash, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling and rashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 35, dose 2
MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depressiion related sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 42, dose 2
MedDRA: Blindness, Cough, Irritability, Neuropathy peripheral, Pain, Thrombosis — Feeling: Poor · 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

Free text: Cough and irritabiltty and loss of sight and aches with nueropothy and some clotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 42, 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)
2021-06-25
Call 1 — Could Not Reach Participant
2021-06-30
Call 2 — Could Not Reach Participant
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Aggression, Balance disorder, Deafness, Discomfort, Fatigue, General physical health deterioration, Loss of libido, Nausea, Pain, Restless legs syndrome, Unevaluable event, Vulvovaginal discomfort — 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 · Hospitalization

Free text: Symptoms: Poor hearingPoor overall healthExtreme fatigue nausea and overly aggressive. Uncontrollable body aches. Lack of balance and libido is at all time low with agitation in lower extremities including bowel and vaginal areas with 360 body pressure · Healthcare visit (other): Not under control

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 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

1 call case(s)
2021-08-03
Call 1 — Could Not Reach Participant
2021-08-06
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): feeling of anxiety and stress with how my body is reacting

Release 8 — days 1–6 daily, dose 2

2021-05-02

Healthcare visit (other): A dentist appointment

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Swelling and rashes

Release 8 — day 35, dose 2

2021-06-03

Symptoms: Depressiion related sleep

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Cough and irritabiltty and loss of sight and aches with nueropothy and some clotting

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Poor hearingPoor overall healthExtreme fatigue nausea and overly aggressive. Uncontrollable body aches. Lack of balance and libido is at all time low with agitation in lower extremities including bowel and vaginal areas with 360 body pressure

Healthcare visit (other): Not under control

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	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Abdominal discomfort	✓	·	✓
SD	Aggression	✓	·	✓
SD	Balance disorder	✓	·	✓
SD	Blindness	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Deafness	✓	·	✓
SD	Depression	✓	✓	✓
SD	Discomfort	✓	·	✓
SD	Fatigue	✓	·	✓
SD	General physical health deterioration	✓	·	✓
SD	Irritability	✓	✓	✓
SD	Loss of libido	✓	·	✓
SD	Nausea	✓	·	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Restless legs syndrome	✓	·	✓
SD	Swelling	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Vulvovaginal discomfort	✓	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Stress	✓	✓	✓

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