N8Y-24796-69004

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 1
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vaccine was done 3/2 I tried changing the date but I cant. All the symptoms I picked were from the day I got the shot. My neck and shoulder was stiff too. Today 3/3 My arm hurts all day!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just pain in the area I got the shot but only when you touched.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: Very little pain only when touching the spot I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue, Somnolence — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: 12 am had very bad stomach pain and diarrhea. Today Im so tired and just want to sleep all day!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Very little pain on the injection site. Sore if I sleep on it but its not that bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Dizziness, Endometriosis, Memory impairment, Pre-existing disease — 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: Light headed,dizzy, forgetfulness, Mano, endometriosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Cough, Productive cough — Feeling: Fair · 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: Coughing a lot. Dry cough and some with phlegm.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 months, dose 2
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)
2021-09-27
Call 1 — Left Voicemail
2022-03-28
Survey response — 12 months, dose 2
MedDRA: Asthma, COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma symptoms. I use an inhaler since I got covid in July . The vaccine didn't cause any symptoms or issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
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)
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Vaccine was done 3/2 I tried changing the date but I cant. All the symptoms I picked were from the day I got the shot. My neck and shoulder was stiff too. Today 3/3 My arm hurts all day!

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Just pain in the area I got the shot but only when you touched.

2021-03-06

Systemic reaction (other): Very little pain only when touching the spot I got the shot

2021-03-07

Systemic reaction (other): 12 am had very bad stomach pain and diarrhea. Today Im so tired and just want to sleep all day!

2021-03-09

Systemic reaction (other): Very little pain on the injection site. Sore if I sleep on it but its not that bad.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Light headed,dizzy, forgetfulness, Mano, endometriosis

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Coughing a lot. Dry cough and some with phlegm.

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: Asthma symptoms. I use an inhaler since I got covid in July . The vaccine didn't cause any symptoms or issues

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	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Endometriosis	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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