ZY7-17319-22877

4 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 782 / TX
Registered: 2021-03-06

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

2021-02-12
Dose 1 — Pfizer-BioNTech
2021-03-05
Dose 2 — Pfizer-BioNTech
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: very slight lightheadedness, which resolved on its own

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: The worst fever and chills occurred yesterday afternoon/evening: after our last check-in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis, Fatigue, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Ive had a slight sore throat for the past 24 hours, and have felt moderate fatigue during this time - as if I were coming down with a sore throat/cold. I would also mention that - following my first shot - I experienced the sight of bloody mucus, when I blew my nose, which happened several times a day. This may have been unrelated to my vaccination, but following my second shot I again experienced (to a much milder degree) the appearance of a bit of blood when Ive blown my nose. By last night, my fatigue reached the moderate level - a bit higher than Id rated it yesterday afternoon. Thank you so much!

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-12
Survey response — day 7, dose 2
MedDRA: Epistaxis — Feeling: Good

Free text: Just a *very mild* experience of a little bit of blood in nasal mucus when I blow my nose; unclear whether related to the vaccine or not; nothing like the more dramatic amount of blood when I blew my nose, after the first dose. Thank you!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Moderna
Co-administered: Flu
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Dose 4 — Moderna
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Chills, Fatigue, Immunisation reaction, Nausea, Pyrexia, Somnolence — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I had a really strong reaction to the vaccine yesterday - the day after my vaccine - with severe fatigue that left me unable to stay awake, and some nausea, and feeling quite feverish, with some chills. My symptoms are better today; bad yesterday!

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No - I feel so much better today!! Happy!!

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: It's unclear whether the fatigue is related or unrelated to the vaccine - possibly/probably unrelated!

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No, thank you!

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
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
Survey response — day 28, dose 4
MedDRA: Arthritis, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: They are almost certainly *unrelated* to my vaccine! But I have had a flare-up of pain from arthritis in one of my hips, exacerbated by moving pots of plants around on my patio. Again, I think this is unrelated to my vaccine - but you asked!

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
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
2022-10-19
Survey response — 6 months, dose 4
MedDRA: SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation

Free text: I tested positive for COVID on July 26, 2022 - but I can't remember whether that was before or after our last contact!

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-20
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	2021-02-12	Pfizer-BioNTech
2	2021-03-05	Pfizer-BioNTech
3	2021-11-24	Moderna	Flu
4	2022-04-20	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): very slight lightheadedness, which resolved on its own

2021-03-07

Systemic reaction (other): The worst fever and chills occurred yesterday afternoon/evening: after our last check-in.

2021-03-08

Systemic reaction (other): Ive had a slight sore throat for the past 24 hours, and have felt moderate fatigue during this time - as if I were coming down with a sore throat/cold. I would also mention that - following my first shot - I experienced the sight of bloody mucus, when I blew my nose, which happened several times a day. This may have been unrelated to my vaccination, but following my second shot I again experienced (to a much milder degree) the appearance of a bit of blood when Ive blown my nose. By last night, my fatigue reached the moderate level - a bit higher than Id rated it yesterday afternoon. Thank you so much!

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Just a *very mild* experience of a little bit of blood in nasal mucus when I blow my nose; unclear whether related to the vaccine or not; nothing like the more dramatic amount of blood when I blew my nose, after the first dose. Thank you!

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): I had a really strong reaction to the vaccine yesterday - the day after my vaccine - with severe fatigue that left me unable to stay awake, and some nausea, and feeling quite feverish, with some chills. My symptoms are better today; bad yesterday!

2022-04-23

Systemic reaction (other): No - I feel so much better today!! Happy!!

2022-04-24

Systemic reaction (other): It's unclear whether the fatigue is related or unrelated to the vaccine - possibly/probably unrelated!

2022-04-26

Systemic reaction (other): No, thank you!

Release 11 — day 28, dose 4

2022-05-18

Symptoms: They are almost certainly *unrelated* to my vaccine! But I have had a flare-up of pain from arthritis in one of my hips, exacerbated by moving pots of plants around on my patio. Again, I think this is unrelated to my vaccine - but you asked!

Release 12 — 6 months, dose 4

2022-10-19

Symptoms: I tested positive for COVID on July 26, 2022 - but I can't remember whether that was before or after our last contact!

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	Arthritis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immunisation reaction	·	·	✓
SRO	Nausea	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	·	·	✓

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