2L9-16551-40103

3 vaccinations 15 coded responses 32 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 719 / AR
Registered: 2021-03-10

Relationship: Self
Race: Black or African American
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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizzy and anxious

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pyrexia — Feeling: Good

Free text: Low grade temp; slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Slight headache; very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Feeling abnormal, Neck pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Neck pain; body feels lifeless

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sharp pains on the left side of my head; extra tired; my arm huts from the injection site down to my fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Feeling so much better today!!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue, Head discomfort, Headache — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Head hurts badly and Im dizzy; head feels full. Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Loss of personal independence in daily activities — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very dizzy; normal blood pressure; do not feel like doing daily chores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Much better today! Thanks for caring!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Throat irritation — Feeling: Good

Free text: Throat was irritated this morning; much better now.

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

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

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-31
Dose 3 — Pfizer-BioNTech
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2022-03-31	Pfizer-BioNTech	No

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Dizzy and anxious

2021-03-12

Systemic reaction (other): Low grade temp; slight headache

2021-03-13

Systemic reaction (other): Slight headache; very tired

2021-03-14

Systemic reaction (other): None

2021-03-15

Systemic reaction (other): None

2021-03-16

Systemic reaction (other): None

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Neck pain; body feels lifeless

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Sharp pains on the left side of my head; extra tired; my arm huts from the injection site down to my fingers

2021-04-03

Systemic reaction (other): Feeling so much better today!!!!!

2021-04-04

Systemic reaction (other): Head hurts badly and Im dizzy; head feels full. Very tired.

2021-04-05

Systemic reaction (other): Very dizzy; normal blood pressure; do not feel like doing daily chores

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Much better today! Thanks for caring!

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Throat was irritated this morning; much better now.

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
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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