2Q9-15543-00135

3 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 923 / CA
Registered: 2020-12-23

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

Timeline

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Survey response — day 0, dose 1
MedDRA: Productive cough, Rhinorrhoea, Salivary hypersecretion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain

Free text: Heavier than normal nasal drip, extra phlem, excess saliva like right before you throw up taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My armpit is reall swollen and raidates an awful sharp pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site reaction, Injection site warmth, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Three welts around the injection site red and hot to touch. Started last night and is still visible but not as big tonight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Disturbance in attention — Feeling: Fair · Site: Pain · Headache

Free text: Feeling kind of out of it no energy not able to focus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 2
MedDRA: Ageusia, Anosmia, Cough, Nasal congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus congestion, cough, loss of taste and smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 6 months, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular, Office visit, Vaginal haemorrhage — 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

Free text: Symptoms: Heavy vaginal bleeding, actually started in may I had to have an IUD placed and im still bleeding, I have had small breaks but not for very long. always had an irregular period but seems worse now. Not sure if it has anything to do with the vaccine. · Healthcare visit (other): Regular visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2022-01-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-03-03
Dose 3 — Pfizer-BioNTech
2022-04-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2022-03-03	Pfizer-BioNTech	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-23

Systemic reaction (other): Heavier than normal nasal drip, extra phlem, excess saliva like right before you throw up taste.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): My armpit is reall swollen and raidates an awful sharp pain

2021-01-16

Systemic reaction (other): Three welts around the injection site red and hot to touch. Started last night and is still visible but not as big tonight

2021-01-18

Systemic reaction (other): Feeling kind of out of it no energy not able to focus

Release 3 — day 21, dose 2

2021-02-04

Symptoms: Sinus congestion, cough, loss of taste and smell.

Release 9 — 6 months, dose 2

2021-07-16

Symptoms: Heavy vaginal bleeding, actually started in may I had to have an IUD placed and im still bleeding, I have had small breaks but not for very long. always had an irregular period but seems worse now. Not sure if it has anything to do with the vaccine. cut off by CDC

Healthcare visit (other): Regular visits

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	Office visit	✓	·	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Vaginal haemorrhage	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Salivary hypersecretion	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓
SRO	Urticaria	✓	✓	○

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