ZU7-11302-62633

5 vaccinations 6 coded responses 53 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 894 / NV
Registered: 2021-03-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 42, dose 2
MedDRA: Chills, Fatigue, Pre-existing disease — Feeling: Fair

Free text: Chills & fatigue. Could be related to hyperthyroidism.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Blood thyroid stimulating hormone increased, Fatigue, Feeling cold, Hyperthyroidism — Feeling: Fair

Free text: Physically freezing & fatigued. Was being treated for hyperthyroidism, now being treated for hypothyroidism. TSH should be 0.450-4.500. Last blood test on 5/11/21show it's now 70.200. Dr. discontinued Methimazole.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Elevated blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Elevated blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

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

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Survey response — day 35, dose 3
MedDRA: Renal disorder — Feeling: Good

Free text: Kidney number is elevated. I've never had issues with my kidneys before. Could be due to a diuretic I didn't need. Note: I sent this info to you on 4/4.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Cholecystectomy, Emergency care — Feeling: Good · Be unable to do your normal daily activities

Free text: Emergency surgery to remove gallbladder

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Dose 4 — Pfizer-BioNTech
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Abdominal pain

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	Flu
4	2022-04-20	Pfizer-BioNTech	No
5	2022-10-21	Pfizer-BioNTech	Flu

Free text

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Chills & fatigue. Could be related to hyperthyroidism.

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: Physically freezing & fatigued. Was being treated for hyperthyroidism, now being treated for hypothyroidism. TSH should be 0.450-4.500. Last blood test on 5/11/21show it's now 70.200. Dr. discontinued Methimazole.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Elevated blood pressure

2021-10-02

Systemic reaction (other): Elevated blood pressure

Release 10 — day 35, dose 3

2021-11-05

Symptoms: Kidney number is elevated. I've never had issues with my kidneys before. Could be due to a diuretic I didn't need. Note: I sent this info to you on 4/4.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Emergency surgery to remove gallbladder

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
SD	Blood thyroid stimulating hormone increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cholecystectomy	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	·	·	✓
SRO	Blood pressure increased	·	·	✓

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