Y96-69967-90490

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 010 / MA
Registered: 2021-03-09

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
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Pruritus — Feeling: Good

Free text: Some itching on my neck and both thumbs (near thumb joints that are slightly arthritic.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Somnolence — Feeling: Good

Free text: Itchy neck when I woke up, probably due to higher levels of cortisol first thing in the morning. I took my Vital Nutrients Aller-C, and did not need anything else. Every day I need to take a 1-2 hour nap, just because I am sleepy - not exhausted, for I have plenty of energy when I am awake and I feel very healthy. Just sleepier than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

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

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Pain, Pain in jaw, Respiratory tract congestion, Toothache — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Congestion. Ear aches. Jaw and tooth pain. Pain in body areas where I have arthritis.

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

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Office visit, Tooth abscess, Tooth extraction — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I developed an abscessed tooth, 6/12, which had to be extracted on 6/17. I also had a bone graft at that site. I had to take Clindamycin antibiotics.Just providing you all health news - tooth problem, most likely has nothing to do with my Pfize · Healthcare visit (other): Dentist, OV, who referred me to Oral Surgeon, OV

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in jaw, Sinus congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Sinus Congestion that makes my jaw ache

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-24
Survey response — day 21, dose 3
MedDRA: Body temperature increased, Chills, Diarrhoea, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Last week I had a stomach flu (?) that lasted from 10/18 (PM) - 10/21. Severe diarrhea, nausea and vomiting, chills, headache, and an elevated temperature: 98.8 - 99.8 (my normal temperature runs 96.9 - 97.4). I wear a mask and do not socialize. !?!?

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Survey response — day 35, dose 3
MedDRA: Depressed mood, Gastroenteritis viral, Pre-existing disease — Feeling: Fair

Free text: 5 days after my booster I started feeling very depressed. 2 weeks after booster I had stomach flu symptoms for 3 days and depression. Now the periods of depression come and go. I have both Chronic Lyme Disease and Leaky Gut which also mess with mood.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 42, dose 3
MedDRA: Anxiety, Depressed mood, Panic attack — Feeling: Fair

Free text: As I said last week, I have become very depressed and have increased aniety and panic attacks.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-29	Successful 2021-07-02	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Some itching on my neck and both thumbs (near thumb joints that are slightly arthritic.)

2021-03-13

Systemic reaction (other): Itchy neck when I woke up, probably due to higher levels of cortisol first thing in the morning. I took my Vital Nutrients Aller-C, and did not need anything else. Every day I need to take a 1-2 hour nap, just because I am sleepy - not exhausted, for I have plenty of energy when I am awake and I feel very healthy. Just sleepier than normal.

2021-03-15

Systemic reaction (other): Dizzy

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Congestion. Ear aches. Jaw and tooth pain. Pain in body areas where I have arthritis.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: I developed an abscessed tooth, 6/12, which had to be extracted on 6/17. I also had a bone graft at that site. I had to take Clindamycin antibiotics.Just providing you all health news - tooth problem, most likely has nothing to do with my Pfize

Healthcare visit (other): Dentist, OV, who referred me to Oral Surgeon, OV

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Sinus Congestion that makes my jaw ache

Release 10 — day 21, dose 3

2021-10-24

Symptoms: Last week I had a stomach flu (?) that lasted from 10/18 (PM) - 10/21. Severe diarrhea, nausea and vomiting, chills, headache, and an elevated temperature: 98.8 - 99.8 (my normal temperature runs 96.9 - 97.4). I wear a mask and do not socialize. !?!? cut off by CDC

Release 10 — day 35, dose 3

2021-11-07

Symptoms: 5 days after my booster I started feeling very depressed. 2 weeks after booster I had stomach flu symptoms for 3 days and depression. Now the periods of depression come and go. I have both Chronic Lyme Disease and Leaky Gut which also mess with mood. cut off by CDC

Release 10 — day 42, dose 3

2021-11-14

Symptoms: As I said last week, I have become very depressed and have increased aniety and panic attacks.

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	Office visit	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Depressed mood	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Panic attack	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tooth abscess	✓	✓	✓
SD	Tooth extraction	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Toothache	✓	✓	✓

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