NAC-13191-44806

3 vaccinations 12 coded responses 31 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 707 / LA
Registered: 2020-12-18

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Anger, Depressed mood — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Depressed and angry somewhat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Palpitations — Feeling: Good · Fatigue or tiredness

Free text: Fatigue off and on daily since vaccine. Also some palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good · Joint pains

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Agitation — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Very agitated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Survey response — day 21, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpitations off and on sin e 3 days after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Emergency care, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Chest discomfort, palpitations · Healthcare visit (other): Er visit...sent home. All cardiac testing negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — 3 months, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Call 1 — Left Voicemail
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Electric shock sensation — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain zap type feeling

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Right side abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Unevaluable event — Feeling: Good · Site: Pain · Headache, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Right quadrant · Healthcare visit (other): For abd pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2021-10-04
Call 1 — Left Voicemail
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, Respiratory tract infection — Feeling: Good · Be unable to work or attend school

Free text: Cold like symptoms but was not covid or flu. Respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: COVID-19, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had covid last week and have had heart palpitations off and on since Every vaccine and especially since I've had covid. I will never get another vaccine. I don't trust in the anymore.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Depressed and angry somewhat

2020-12-22

Systemic reaction (other): Fatigue off and on daily since vaccine. Also some palpitations.

Release 1 — day 7, dose 1

2020-12-27

Systemic reaction (other): Cough

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Very agitated

Release 3 — day 21, dose 2

2021-01-30

Symptoms: Heart palpitations off and on sin e 3 days after shot

Release 3 — day 28, dose 2

2021-02-04

Symptoms: Chest discomfort, palpitations

Healthcare visit (other): Er visit...sent home. All cardiac testing negative

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: None

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Brain zap type feeling

2021-10-02

Systemic reaction (other): Right side abdominal pain

2021-10-03

Systemic reaction (other): Right quadrant

Healthcare visit (other): For abd pain

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Cold like symptoms but was not covid or flu. Respiratory infection

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Had covid last week and have had heart palpitations off and on since Every vaccine and especially since I've had covid. I will never get another vaccine. I don't trust in the anymore.

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	Abdominal pain	·	·	✓
HCVO	Emergency care	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	No adverse event	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Respiratory tract infection	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Agitation	✓	✓	✓
SRO	Anger	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Electric shock sensation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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