2DM-21509-40240

5 vaccinations 17 coded responses 60 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 554 / MN
Registered: 2021-03-12

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-19
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Good

Free text: Face flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus congestion — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Survey response — day 14, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Paranasal sinus discomfort, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, exhausted, and sinus pressure and congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 42, dose 3
MedDRA: Chills, Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 102.5 temp fever, chills, sore throat, coughing, and extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-18
Survey response — day 14, dose 4
MedDRA: Chills, Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, shivers, sore throat, headache, extreme fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 21, dose 4
MedDRA: Fatigue, Productive cough, Pyrexia, Respiratory tract congestion, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest and sinus congestion, phlegm coughing, extreme fatigue, slight fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Survey response — day 42, dose 4
MedDRA: Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, coughing, sore throat, dizzy, fatigued, chills, and constant urge to vomit

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Pfizer-BioNTech
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Headache · Be unable to work or attend school

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Diarrhea

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-10-21
Survey response — day 14, dose 5
MedDRA: Pain in extremity — Feeling: Fair

Free text: Sore arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-04
Survey response — day 28, dose 5
MedDRA: Injection site pain — Feeling: Fair

Free text: Arm is still very sore at the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Survey response — day 35, dose 5
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm is still sore at the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Survey response — day 42, dose 5
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Injection site pain — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-10-07	Pfizer-BioNTech	No

Free text

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): No

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Face flushed

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Sore throat

2021-10-06

Systemic reaction (other): Sore throat

2021-10-07

Systemic reaction (other): Sore throat

2021-10-08

Systemic reaction (other): Sinus congestion

2021-10-09

Systemic reaction (other): Sinus congestion

Release 10 — day 14, dose 3

2021-10-18

Symptoms: Sore throat, exhausted, and sinus pressure and congestion

Release 10 — day 42, dose 3

2021-11-15

Symptoms: 102.5 temp fever, chills, sore throat, coughing, and extreme fatigue.

Release 11 — day 14, dose 4

2022-04-18

Symptoms: Fever, shivers, sore throat, headache, extreme fatigue.

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Chest and sinus congestion, phlegm coughing, extreme fatigue, slight fever

Release 11 — day 42, dose 4

2022-05-16

Symptoms: Headache, coughing, sore throat, dizzy, fatigued, chills, and constant urge to vomit

Release 12 — day 14, dose 5

2022-10-21

Symptoms: Sore arm

Release 12 — day 28, dose 5

2022-11-04

Symptoms: Arm is still very sore at the injection site

Release 12 — day 35, dose 5

2022-11-11

Symptoms: Arm is still sore at the injection site

Release 12 — day 42, dose 5

2022-11-18

Symptoms: Dizziness

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	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Sinus congestion	·	·	✓

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