256-31432-53159

3 vaccinations 7 coded responses 34 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 441 / OH
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

WNY-32305-28274 Child or adolescent in my care · Female · 2021-11-14

GRE-81431-08063 Child or adolescent in my care · Female · 2021-11-14

Timeline

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

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — day 7, dose 1
MedDRA: Axillary pain, Pain in extremity — Feeling: Good

Free text: Soreness in my left underarm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 14, dose 1
MedDRA: Tenderness — Feeling: Good

Free text: Tenderness in my under arm extending down into my arm and also my rib cage. Only on the side I received my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Pruritus — Feeling: Good

Free text: I have a strange painful itching sensation on my scalp. I have had multiple people look for a rash. They found nothing, but the feeling is there all the time and seems to be growing in area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Pruritus — Feeling: Good

Free text: I have painful itching and tenderness on my scalp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 7, dose 2
MedDRA: Pain of skin, Pruritus — Feeling: Good

Free text: I have itchy tenderness on my scalp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, cough, congestion,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Survey response — day 14, dose 3
MedDRA: Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, congestion, cough Took a Covid test which was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-11-11	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Soreness in my left underarm.

Release 6 — day 14, dose 1

2021-04-04

Symptoms: Tenderness in my under arm extending down into my arm and also my rib cage. Only on the side I received my shot.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I have a strange painful itching sensation on my scalp. I have had multiple people look for a rash. They found nothing, but the feeling is there all the time and seems to be growing in area.

2021-04-17

Systemic reaction (other): I have painful itching and tenderness on my scalp.

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): I have itchy tenderness on my scalp.

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Sore throat, cough, congestion,

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Fever, congestion, cough Took a Covid test which was negative.

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	Cough	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Axillary pain	✓	·	✓
SRO	Pain in extremity	○	✓	○
SRO	Pain of skin	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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