ZWH-10355-77299

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 472 / IN
Registered: 2020-12-19

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

2020-12-19
Registered in v-safe
2020-12-19
Dose 1 — Pfizer-BioNTech
2020-12-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Nasal congestion — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Free text: I had a labial repair in my hip last May and the hip aches mildly aches today. Mild nasal congestion too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Fatigue or tiredness

Free text: Mild nasal stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Mild nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-03
Survey response — day 14, dose 1
MedDRA: Livedo reticularis — Feeling: Good

Free text: Looks like I have mottled skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Light-headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — day 14, dose 2
MedDRA: Bradycardia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Episodes of bradycardia with heart rate at 39.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 28, dose 2
MedDRA: Extrasystoles, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines and skipped heartbeats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 42, dose 2
MedDRA: Bradycardia, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Urinary Tract Infection and intermittent bradycardia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Heart rate decreased, Heart rate increased, Heart rate irregular, Lacrimation increased, Nasopharyngitis, Palpitations, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: I felt like I had a cold. Runny nose, watery eyes, headache, and a slight cough. It lasted 5 days. Ive also had heart palpitations and continued intermittent slow heart rate and sometimes the heartbeat is rapid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — 6 months, dose 2
MedDRA: Nephrolithiasis — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Kidney stones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
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

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2022-01-09
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech

Call center

4 call center cases

2 unsuccessful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): I had a labial repair in my hip last May and the hip aches mildly aches today. Mild nasal congestion too.

2020-12-21

Systemic reaction (other): Mild nasal stuffiness

2020-12-23

Systemic reaction (other): Mild nasal congestion

Release 1 — day 14, dose 1

2021-01-03

Symptoms: Looks like I have mottled skin.

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Light-headedness

Release 2 — day 14, dose 2

2021-01-23

Symptoms: Episodes of bradycardia with heart rate at 39.

Release 3 — day 28, dose 2

2021-02-06

Symptoms: Migraines and skipped heartbeats

Release 4 — day 42, dose 2

2021-02-20

Symptoms: Urinary Tract Infection and intermittent bradycardia.

Release 7 — 3 months, dose 2

2021-04-10

Symptoms: I felt like I had a cold. Runny nose, watery eyes, headache, and a slight cough. It lasted 5 days. Ive also had heart palpitations and continued intermittent slow heart rate and sometimes the heartbeat is rapid.

Release 9 — 6 months, dose 2

2021-07-10

Symptoms: Kidney stones

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	Bradycardia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Extrasystoles	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate decreased	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Livedo reticularis	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Musculoskeletal discomfort	○	○	○
SRO	Nasal congestion	✓	✓	✓

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