PMD-15412-26171

4 vaccinations 19 coded responses 32 check-ins 19 free-text entries 10 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 078 / NJ
Registered: 2021-08-11

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

2021-08-10
Dose 1 — Pfizer-BioNTech
2021-08-11
Registered in v-safe
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Free text: The headache is odd. It has a wooziness sensation to it.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Dizziness, Injection site reaction, Joint range of motion decreased, Musculoskeletal stiffness, Myalgia, Neck pain, Pain, Tenderness, Throat irritation — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Left upper body quad (inj side) very stiff. Decreased ROM. Bil shoulders & neck VERY stiff VERY painful.Neck painful even to touch.Raw throat. body/joint/muscle head to toe not aches, but PAIN, far worse than bodily pain of flu,hurts to move.woozines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction, Medical counselling — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Just convo with MDs nurse advising vaccine reaction from Tues shot 1, list of Sx, and day 4 now, Sx are rapidly reducing throughout today to update my MD and care givers just only advise events since telehealth MD auth safe I can vax & exact brand

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-08-17
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-20
Call 1 — Left Voicemail
2021-08-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-31
Dose 2 — Pfizer-BioNTech
2021-08-31
Survey response — day 0, dose 2
MedDRA: Alveolar osteitis, Office visit, Tooth extraction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Also suffering tooth extraction dry socket Tx wound/dressing changes · Healthcare visit (other): Dental wound care dressing changes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Survey response — days 1–6 daily, dose 2
MedDRA: Alveolar osteitis, Office visit, Pain, Tooth extraction, Wound treatment — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Recovering tooth extraction day 8. Severely painful · Healthcare visit (other): Dentist dressing wound removal from dry socket tooth extraction hole in mouth 8 days old

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Survey response — days 1–6 daily, dose 2
MedDRA: Alveolar osteitis, Illness, Tooth extraction — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still suffering dry socket from molar extraction at same time unable to get any more dental care w/ vaccine recovery sicknees

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Call 1 — Left Voicemail
2021-09-03
Survey response — days 1–6 daily, dose 2
MedDRA: Alveolar osteitis, Office visit, Oral pain, Pruritus, Rash macular, Tooth extraction — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Splotches on face and chest only. Itchy skin all over but no other rashes or marks. Just itching like crazy · Healthcare visit (other): Had to meet dentist to get more medical care for severe pain and wound care for dry pocket tooth extraction 10 days ago

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-09-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: SOB

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Feeling abnormal, Headache, Lethargy, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: SOB, HA, lethargy, sore throat, non stop nasal discharge .. miserable

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 7, dose 2
MedDRA: Cough, Headache, Productive cough, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, HA, sneezing, heavy phlegm

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Call 1 — Left Voicemail
2021-09-14
Survey response — day 14, dose 2
MedDRA: Aphasia, Arthralgia, Bone pain, Confusional state, Fatigue, Memory impairment, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: The muscle joint and bones pain came back to excruciating level. The fatigue is causing me to have confusion. I will forget what Im doing seconds later, I find myself talking to ppl and at a loss of word i need, have forgotten. My own address inf

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — day 21, dose 2
MedDRA: Arthralgia, Decreased appetite, Fatigue, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme fatigue, so hard to stay awake. Sleeping no less than 12 hours per day. Very severe joint pains. Loss of appetite. Meds for GI disorders arent working

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Ear pain, Headache, Malaise, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Sneezing — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sickx1week.Cough,sore throat,HA,congestion,EarPain,HeavyCongestion,fevers,bodyAches,sneezing,SOB

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 28, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-05
Call 2 — Left Voicemail
2021-10-07
Call 3 — Left Voicemail
2021-10-12
Survey response — day 42, dose 2
MedDRA: Allergic respiratory symptom, Cough, Hypersensitivity, Nasopharyngitis, Pre-existing disease, Respiratory tract infection bacterial — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I recovered from my 2-3 weeks cold virus bacterial upper&lower resp infec. My all year lallergies Sx life only attacks upper resp. so yes throughout my head still of Sx.BUT1st ever life of ONLY yUPPER Sx,now if outside,immed enter severe cough attack

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 42, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-14
Call 2 — Left Voicemail
2021-11-30
Survey response — 3 months, dose 2
MedDRA: Depression — 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, Outpatient clinic or urgent care clinic visit

Free text: Depression. Need to seek intensive help. May be sent inpatient

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-02
Call 2 — Left Voicemail
2022-03-01
Survey response — 6 months, dose 2
MedDRA: Respiratory tract infection bacterial, Viral upper respiratory tract infection — 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, Outpatient clinic or urgent care clinic visit

Free text: Every single time I leave my house to attempt to catch up on medical care that's been untreated while quarantined against covid for 2 years, I catch URI and LRI's that are multi viral/bacterial and land in bed weeks on atb, Sx meds, inhalers,steroids

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-03-23
Dose 3 — Pfizer-BioNTech
2022-05-04
Survey response — day 42, dose 3
MedDRA: Adverse reaction, Arrhythmia, Electrolyte imbalance, Insulin resistance, Neurological symptom, Office visit, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dx w/Insulin Resistance.Medicare doesn't cover dietary referral, body having very severe & serious medical complication problems on Mediterranean diet info. Without help & Disabled, unable to go to ER w/arrhythmias, electrolyte, neuro issues,more · Healthcare visit (other): Other doctor specialists consults and testings

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — day 42, 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)
2022-05-05
Call 1 — Left Voicemail
2022-06-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-21
Survey response — 6 months, dose 3
MedDRA: Diarrhoea, Exposure to SARS-CoV-2, Haemorrhage, Pharyngeal disorder, Rectal haemorrhage, Respiratory symptom, Telemedicine — 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 · Telehealth, virtual health, or email health consultation

Free text: Frank Rectal bleeding Addl direct exposure to covid again very end of august. Did end up with throat and respiratory Sx, but ALL serial and delayed recheck home antigen tests have been Neg. Inf Dis aware. Thurs 9/22/22,GI MD telehlth :bleed/Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — 6 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)
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 2 — Left Voicemail
2022-09-22
Call 1 — Left Voicemail
2023-02-27
Dose 4 — Pfizer-BioNTech
2023-03-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-03-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-03-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-04-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-04-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	Pfizer-BioNTech	No
2	2021-08-31	Pfizer-BioNTech	No
3	2022-03-23	Pfizer-BioNTech	No
4	2023-02-27	Pfizer-BioNTech	No

Call center

10 call center cases

10 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-11

Systemic reaction (other): The headache is odd. It has a wooziness sensation to it.

2021-08-12

Systemic reaction (other): Left upper body quad (inj side) very stiff. Decreased ROM. Bil shoulders & neck VERY stiff VERY painful.Neck painful even to touch.Raw throat. body/joint/muscle head to toe not aches, but PAIN, far worse than bodily pain of flu,hurts to move.woozines cut off by CDC

2021-08-13

Healthcare visit (other): Just convo with MDs nurse advising vaccine reaction from Tues shot 1, list of Sx, and day 4 now, Sx are rapidly reducing throughout today to update my MD and care givers just only advise events since telehealth MD auth safe I can vax & exact brand

2021-08-15

Systemic reaction (other): Cough

Release 9 — day 0, dose 2

2021-08-31

Systemic reaction (other): Also suffering tooth extraction dry socket Tx wound/dressing changes

Healthcare visit (other): Dental wound care dressing changes

Release 9 — days 1–6 daily, dose 2

2021-09-01

Systemic reaction (other): Recovering tooth extraction day 8. Severely painful

Healthcare visit (other): Dentist dressing wound removal from dry socket tooth extraction hole in mouth 8 days old

2021-09-02

Systemic reaction (other): Still suffering dry socket from molar extraction at same time unable to get any more dental care w/ vaccine recovery sicknees

2021-09-03

Systemic reaction (other): Splotches on face and chest only. Itchy skin all over but no other rashes or marks. Just itching like crazy

Healthcare visit (other): Had to meet dentist to get more medical care for severe pain and wound care for dry pocket tooth extraction 10 days ago

2021-09-05

Systemic reaction (other): SOB

2021-09-06

Systemic reaction (other): SOB, HA, lethargy, sore throat, non stop nasal discharge .. miserable

Release 9 — day 7, dose 2

2021-09-07

Systemic reaction (other): Cough, HA, sneezing, heavy phlegm

Release 9 — day 14, dose 2

2021-09-14

Symptoms: The muscle joint and bones pain came back to excruciating level. The fatigue is causing me to have confusion. I will forget what Im doing seconds later, I find myself talking to ppl and at a loss of word i need, have forgotten. My own address inf

Release 9 — day 21, dose 2

2021-09-21

Symptoms: Extreme fatigue, so hard to stay awake. Sleeping no less than 12 hours per day. Very severe joint pains. Loss of appetite. Meds for GI disorders arent working

Release 9 — day 28, dose 2

2021-10-01

Symptoms: Sickx1week.Cough,sore throat,HA,congestion,EarPain,HeavyCongestion,fevers,bodyAches,sneezing,SOB

Release 10 — day 42, dose 2

2021-10-12

Symptoms: I recovered from my 2-3 weeks cold virus bacterial upper&lower resp infec. My all year lallergies Sx life only attacks upper resp. so yes throughout my head still of Sx.BUT1st ever life of ONLY yUPPER Sx,now if outside,immed enter severe cough attack cut off by CDC

Release 10 — 3 months, dose 2

2021-11-30

Symptoms: Depression. Need to seek intensive help. May be sent inpatient

Release 11 — 6 months, dose 2

2022-03-01

Symptoms: Every single time I leave my house to attempt to catch up on medical care that's been untreated while quarantined against covid for 2 years, I catch URI and LRI's that are multi viral/bacterial and land in bed weeks on atb, Sx meds, inhalers,steroids cut off by CDC

Release 11 — day 42, dose 3

2022-05-04

Symptoms: Dx w/Insulin Resistance.Medicare doesn't cover dietary referral, body having very severe & serious medical complication problems on Mediterranean diet info. Without help & Disabled, unable to go to ER w/arrhythmias, electrolyte, neuro issues,more

Healthcare visit (other): Other doctor specialists consults and testings

Release 12 — 6 months, dose 3

2022-09-21

Symptoms: Frank Rectal bleeding Addl direct exposure to covid again very end of august. Did end up with throat and respiratory Sx, but ALL serial and delayed recheck home antigen tests have been Neg. Inf Dis aware. Thurs 9/22/22,GI MD telehlth :bleed/Diarrhea cut off by CDC

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	Alveolar osteitis	✓	·	✓
HCVO	Immunisation reaction	✓	·	✓
HCVO	Medical counselling	✓	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Oral pain	✓	·	✓
HCVO	Tooth extraction	✓	·	✓
HCVO	Wound treatment	✓	·	✓
SD	Adverse reaction	·	·	✓
SD	Allergic respiratory symptom	·	·	✓
SD	Aphasia	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Confusional state	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Depression	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Electrolyte imbalance	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemorrhage	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Insulin resistance	·	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngeal disorder	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rectal haemorrhage	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract infection bacterial	·	·	✓
SD	Sneezing	·	·	✓
SD	Somnolence	·	·	✓
SD	Telemedicine	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Alveolar osteitis	✓	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Feeling abnormal	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Illness	✓	·	✓
SRO	Injection site reaction	✓	·	✓
SRO	Joint range of motion decreased	✓	·	✓
SRO	Lethargy	✓	·	✓
SRO	Musculoskeletal stiffness	✓	·	✓
SRO	Myalgia	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Productive cough	·	·	✓
SRO	Pruritus	✓	·	✓
SRO	Rash macular	✓	·	✓
SRO	Rhinorrhoea	✓	·	✓
SRO	Sneezing	·	·	✓
SRO	Tenderness	✓	·	✓
SRO	Throat irritation	✓	·	✓
SRO	Tooth extraction	✓	·	✓

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