2U8-10505-54800

3 vaccinations 6 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Chills, Nausea, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: So different from fever,chills,nausea, weakness of yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling

Free text: The slight pain and swelling of injection site has been there since beginning but not sufficient a problem, given the more severe day 1 symptoms, I did not think to mention it till now. Its really just a mild problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good · 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: Not due to vaccine but reacting to immunotherapy treatment for lung cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 42, dose 3
MedDRA: Metastatic neoplasm — Feeling: Good

Free text: Cancer Mets

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Sinus congestion, Unevaluable event — Feeling: Fair

Free text: Sinus congestion with resulting sore throat and heavy ciughinv

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — 6 months, dose 3
MedDRA: Sepsis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Sepsis

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-08-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-08-24	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): So different from fever,chills,nausea, weakness of yesterday

2021-01-31

Systemic reaction (other): The slight pain and swelling of injection site has been there since beginning but not sufficient a problem, given the more severe day 1 symptoms, I did not think to mention it till now. Its really just a mild problem.

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Not due to vaccine but reacting to immunotherapy treatment for lung cancer

Release 10 — day 42, dose 3

2021-10-05

Symptoms: Cancer Mets

Release 10 — 3 months, dose 3

2021-11-23

Symptoms: Sinus congestion with resulting sore throat and heavy ciughinv

Release 11 — 6 months, dose 3

2022-02-22

Symptoms: Sepsis

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	Metastatic neoplasm	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sepsis	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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