Y96-32360-37684

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 914 / CA
Registered: 2021-02-17

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

2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Good · Fatigue or tiredness

Free text: Like sleeping more than usual in past 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 1
MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-09
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Feeling very sleepy now. I was very sleepy just about 5 minutes after shot while sitting in observation room.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Last night I had minimal fever for few hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Headache, Fatigue or tiredness

Free text: decreased appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Poor appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 2
MedDRA: Decreased appetite, Medical counselling, Nausea — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Decreased appetite · Healthcare visit (other): I had telephone contact with MD after responding your question yesterday due to nausea , and given medication Ondansetron 4 mg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — day 14, dose 2
MedDRA: Constipation, Nausea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My nausea lasted for another day after the last check in. Then constipation started , and lasted for 5 days. I have been doing well since 3/21/21. In my case after vaccination complication lasted 13 days. I do not know why.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal disorder, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 weeks ago after eating some food, I had gastro - intestinal problem that I never had in the past. · Healthcare visit (other): Just consulted with advice nurse on the phone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-24
Call successful
Does not wish to fill out VAERS report
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Successful	Does not wish to fill out VAERS report
2021-03-23	Successful	Does not wish to fill out VAERS report
2021-06-08	Successful 2021-06-24	Does not wish to fill out VAERS report

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Like sleeping more than usual in past 2 days.

2021-02-20

Systemic reaction (other): Mild Decreased appetite

2021-02-21

Systemic reaction (other): Decreased appetite

2021-02-22

Systemic reaction (other): Decreased appetite

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Decreased appetite

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Feeling very sleepy now. I was very sleepy just about 5 minutes after shot while sitting in observation room.

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Last night I had minimal fever for few hours.

2021-03-11

Systemic reaction (other): decreased appetite.

2021-03-12

Systemic reaction (other): Decreased appetite

2021-03-13

Systemic reaction (other): Still decreased appetite

2021-03-14

Systemic reaction (other): Decreased appetite

2021-03-15

Systemic reaction (other): Poor appetite

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Decreased appetite

Healthcare visit (other): I had telephone contact with MD after responding your question yesterday due to nausea , and given medication Ondansetron 4 mg.

Release 6 — day 14, dose 2

2021-03-23

Symptoms: My nausea lasted for another day after the last check in. Then constipation started , and lasted for 5 days. I have been doing well since 3/21/21. In my case after vaccination complication lasted 13 days. I do not know why.

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: 2 weeks ago after eating some food, I had gastro - intestinal problem that I never had in the past.

Healthcare visit (other): Just consulted with advice nurse on the phone.

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	Medical counselling	✓	✓	✓
HCVO	Nausea	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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