ZX8-17088-64289

3 vaccinations 10 coded responses 32 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 740 / OK
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary tract infection — Feeling: Good · Muscle or body aches

Free text: Urinary Tract Infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-10
Survey response — day 7, dose 1
MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): On antibiotics for UTI for last couple days · Healthcare visit (other): Urgent Care Dr prescribed antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

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

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle aches are lower back. Probably unrelated to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle pain chronic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-31
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Chronic back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Very tired. Daily. Sick of wearing mask at work and in public.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — day 7, dose 3
MedDRA: Multiple sclerosis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Multiple sclerosis

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Survey response — day 21, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Call 1 — Left Voicemail
2021-12-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Ear infection, Office visit, Sinus headache, Sinusitis, Tympanic membrane perforation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sinus infection led to ear infection and right eardrum bursting. Ear healed, still have sinus headache daily. · Healthcare visit (other): And follow up with Otolaryngologist

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-24
Survey response — 12 months, dose 3
MedDRA: Cough, Ear infection, Fatigue, Respiratory tract congestion — 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 · Outpatient clinic or urgent care clinic visit

Free text: Cough, ear infection, exhaustion, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Urinary Tract Infection

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): On antibiotics for UTI for last couple days

Healthcare visit (other): Urgent Care Dr prescribed antibiotics

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Muscle aches are lower back. Probably unrelated to vaccine.

2021-03-28

Systemic reaction (other): Muscle pain chronic

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Chronic back pain

Release 8 — day 35, dose 2

2021-04-28

Symptoms: Very tired. Daily. Sick of wearing mask at work and in public.

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): Multiple sclerosis

Release 10 — day 21, dose 3

2021-10-15

Symptoms: Lower back pain

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: Sinus infection led to ear infection and right eardrum bursting. Ear healed, still have sinus headache daily.

Healthcare visit (other): And follow up with Otolaryngologist

Release 12 — 12 months, dose 3

2022-09-24

Symptoms: Cough, ear infection, exhaustion, congestion

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	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus headache	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tympanic membrane perforation	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Multiple sclerosis	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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