XXR-21584-68400

4 vaccinations 9 coded responses 35 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 761 / TX
Registered: 2021-03-11

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

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — 7 day, dose 1
Feeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-23
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — 21 day, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — 28 day, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — 35 day, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — 7 day, dose 2
MedDRA: Hypersensitivity, Sinus headache — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-03
Health check-in — 14 day, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — 21 day, dose 2
Feeling: Poor

Adult check-in
2021-05-17
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Survey response — 42 day, dose 2
MedDRA: Back pain, Medical counselling — Feeling: Poor · 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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-31
Report sent to call center — 42 day, 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)
2021-07-19
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2022-04-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Health check-in — 12 month, dose 2
Feeling: Fair

Adult check-in
2022-08-12
Dose 4 — Pfizer-BioNTech
2022-08-17
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Dry mouth, Pain in jaw, Taste disorder — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-18
Survey response — days 1–6 daily, dose 4
MedDRA: Dry mouth, Ear pain, Productive cough, Sinus pain — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-19
Survey response — 7 day, dose 4
MedDRA: Decreased appetite, Disturbance in attention, Dizziness, Dry mouth, Feeling abnormal, Headache, Taste disorder — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-26
Health check-in — 14 day, dose 4
Feeling: Fair

Adult check-in
2022-09-02
Health check-in — 21 day, dose 4
Feeling: Fair

Adult check-in
2022-09-11
Health check-in — 28 day, dose 4
Feeling: Fair

Adult check-in
2022-09-16
Health check-in — 35 day, dose 4
Feeling: Fair

Adult check-in
2022-09-23
Health check-in — 42 day, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2023-02-12
Health check-in — 6 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No
4	2022-08-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-31	Successful 2022-04-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5

Systemic reaction (other): My shot site hurts a great deal even with Tylenol, arm exercise, and cold packs.

Systemic reaction (other): Still pain on Arl from shot

Systemic reaction (other): I thought the abdominal pain and the diarrhea was something else but its continued.

Release 7

Systemic reaction (other): Overslept a great deal!

Release 8

Systemic reaction (other): Allergy sinus headache

Symptoms: Lower back pain

Healthcare visit (other): Seeking othro and pain management

Release 12

Systemic reaction (other): Dry mouth, taste changed, jaw pain, no desire to eat

Systemic reaction (other): Dry mouth cough phlegm sinus pain ear pain

Systemic reaction (other): Dry mouth, dizzy extreme headache lack of concentration constantly change in taste no desire to eat BEYOND miserable

Free-text releases are not linked to a specific 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	Medical counselling	✓	✓	✓
SD	Back pain	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Disturbance in attention	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Sinus headache	✓	✓	✓
SRO	Sinus pain	·	·	✓
SRO	Taste disorder	·	·	✓

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