2JT-19055-97429

3 vaccinations 17 coded responses 28 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 604 / IL
Registered: 2021-04-22

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I do have a concern thats really bothering me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Somnolence — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 14, dose 2
MedDRA: Fatigue, Nasal congestion, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stuffy nose and head. Fatigue, tiredness and sleepiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Good

Free text: Shortness of breath and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Excessive nasal stuffiness with little or no nasal mucus.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Somnolence — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sleepiness

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — day 7, dose 3
MedDRA: Blood pressure increased, Somnolence — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sleepiness, sleeping most of the day and elevated blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 14, dose 3
MedDRA: Blood pressure increased, Body temperature increased, Chills, Headache, Loss of personal independence in daily activities, Nasopharyngitis, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache, elevated blood pressure, chills, body aches, temperature of 100.0, last night. Today, I'm currently nursing a cold. I wasn't able to go to my Respiratory Rehabilitation Gym session yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 21, dose 3
MedDRA: Chills, Pyrexia, Rhinorrhoea — Feeling: Good

Free text: Chills, runny nose, fever.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test, Self-medication — Feeling: Fair · 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: Symptoms: Friday, November 12, 2021, I experienced body aches, fever of 101.8. I taken 2 tabs of Tylenol and went to bed. When I awakened I actually had a cold. I took Night Quill, followed up the next morning with Day Quill. I felt better on Sunday. · Healthcare visit (other): Taken CoVid test

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 28, 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)
2021-11-19
Call 1 — Left Voicemail
2021-11-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — 3 months, dose 3
MedDRA: Chills — Feeling: Good

Free text: Chills

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — 6 months, dose 3
MedDRA: Influenza like illness — Feeling: Good · Be unable to do your normal daily activities

Free text: Flu like symptoms for about a week, 2 weeks ago.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): I do have a concern thats really bothering me.

2021-04-24

Systemic reaction (other): Sleepiness

2021-04-25

Systemic reaction (other): Sleepiness

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Sleepiness

2021-04-27

Systemic reaction (other): Sleepiness

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Sleepiness

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Stuffy nose and head. Fatigue, tiredness and sleepiness.

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Shortness of breath and fatigue.

Release 10 — days 1–6 daily, dose 3

2021-10-22

Systemic reaction (other): Stuffy nose

2021-10-23

Systemic reaction (other): Excessive nasal stuffiness with little or no nasal mucus.

2021-10-27

Systemic reaction (other): Sleepiness

Release 10 — day 7, dose 3

2021-10-28

Systemic reaction (other): Sleepiness, sleeping most of the day and elevated blood pressure.

Release 10 — day 14, dose 3

2021-11-04

Symptoms: Severe headache, elevated blood pressure, chills, body aches, temperature of 100.0, last night. Today, I'm currently nursing a cold. I wasn't able to go to my Respiratory Rehabilitation Gym session yesterday.

Release 10 — day 21, dose 3

2021-11-11

Symptoms: Chills, runny nose, fever.

Release 10 — day 28, dose 3

2021-11-18

Symptoms: Friday, November 12, 2021, I experienced body aches, fever of 101.8. I taken 2 tabs of Tylenol and went to bed. When I awakened I actually had a cold. I took Night Quill, followed up the next morning with Day Quill. I felt better on Sunday.

Healthcare visit (other): Taken CoVid test

Release 10 — 3 months, dose 3

2022-01-20

Symptoms: Chills

Release 11 — 6 months, dose 3

2022-04-21

Symptoms: Flu like symptoms for about a week, 2 weeks ago.

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	SARS-CoV-2 test	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Blood pressure increased	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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