29H-98864-93700

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 730 / OK
Registered: 2021-05-06

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-15
Dose 1 — Pfizer-BioNTech
2021-05-06
Registered in v-safe
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Nightmare — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Scary dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor

Free text: Slight cough and chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache

Adult check-in
2021-05-13
Survey response — day 7, dose 2
MedDRA: Chest pain, Oropharyngeal pain, Productive cough, Respiratory tract congestion — Feeling: Poor · Fever · Headache · Be unable to work

Free text: Chest congestion, coughing up white phlegm then darker phlegm. Woke up with terrible sore throat and my chest burns when I cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-28
Dose 3 — Pfizer-BioNTech
2021-12-28
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Randomly my nose started bleeding on Thursday evening during a meeting at work. I was able to stop the nose bleed

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Fever · Headache

Adult check-in
2022-01-11
Survey response — day 14, dose 3
MedDRA: Headache, Pyrexia, Rhinorrhoea, Sputum discoloured — Feeling: Fair

Free text: At times I feel low grade feverish, slight headache . Slight Runny nose (green mucous)

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 21, dose 3
MedDRA: COVID-19, Chills, Cough, Epistaxis, Fatigue, Headache, Lacrimation increased, Nasal discomfort, Oropharyngeal pain, Pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school

Free text: Contracted covid 19 variant omicron Headaches Body aches Sore throat Chills Nose burn Nose bleed Watery eyes Cough Sneezing Runny nose Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Survey response — day 35, dose 3
MedDRA: Headache, Post-acute COVID-19 syndrome, Sinusitis — Feeling: Poor · Be unable to work or attend school

Free text: Post covid syndrome Sinus infectIon Continued headache

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Daily headaches

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Survey response — 12 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Respiratory tract infection viral — 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: Viral respiratory infection Worsened GAD symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-28	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Scary dreams

2021-05-11

Systemic reaction (other): Slight cough and chest congestion

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Chest congestion, coughing up white phlegm then darker phlegm. Woke up with terrible sore throat and my chest burns when I cough

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Randomly my nose started bleeding on Thursday evening during a meeting at work. I was able to stop the nose bleed

Release 10 — day 14, dose 3

2022-01-11

Symptoms: At times I feel low grade feverish, slight headache . Slight Runny nose (green mucous)

Release 10 — day 21, dose 3

2022-01-18

Symptoms: Contracted covid 19 variant omicron Headaches Body aches Sore throat Chills Nose burn Nose bleed Watery eyes Cough Sneezing Runny nose Fatigue

Release 11 — day 35, dose 3

2022-02-01

Symptoms: Post covid syndrome Sinus infectIon Continued headache

Release 11 — day 42, dose 3

2022-02-08

Symptoms: Daily headaches

Release 12 — 12 months, dose 3

2022-12-29

Symptoms: Viral respiratory infection Worsened GAD symptoms

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	Chills	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasal discomfort	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Nightmare	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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