36Y-33080-39972

3 vaccinations 16 coded responses 28 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 968 / HI
Registered: 2021-05-31

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

Registered dependents

AQA-29584-35424 Child or adolescent in my care · Male · 2022-01-05

JCH-15840-68638 Child or adolescent in my care · Male · 2022-01-05

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-31
Registered in v-safe
2021-06-02
Dose 1 — Pfizer-BioNTech
2021-06-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Insomnia, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: The sleepiness the fatigue makes it hard to do anything. I wake up and still so sleepy. Had little runny nose. and slight sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-09
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-23
Dose 2 — Pfizer-BioNTech
2021-06-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-25
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizzyness and offbalance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and feet swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Dizziness, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Dizziness , feet swelling , easy bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Difficulty breathing, dizzyness, feet swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness. Feet swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — day 7, dose 2
MedDRA: Dizziness, Dyspnoea, Peripheral swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, trouble breathing, feet swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feet swelling. Hard time breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extra tired. Swelling feet. Difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2021-07-28
Survey response — day 35, dose 2
MedDRA: Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: So very sleepy. Hard time staying awake.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Pain, Rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: Rash on legs and rash on stomach. Very tired. Headache worse. Body aches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-23
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Abdominal tenderness, Skin discolouration — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen belly with lines that feel like bruises

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Dose 3 — Pfizer-BioNTech
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-21
Survey response — day 14, dose 3
MedDRA: Cough, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing, runny nose, body ache, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — day 28, dose 3
MedDRA: Menstruation irregular — Feeling: Poor · Be unable to do your normal daily activities

Free text: Period when zhouldnt have one

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Increased tendency to bruise, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pains. Sore throat. Runny nose. Bruise easily.

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

Adult check-in
2023-01-07
Survey response — 12 months, dose 3
MedDRA: Cough, Pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-02	Pfizer-BioNTech
2	2021-06-23	Pfizer-BioNTech	No
3	2022-01-05	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-04

Systemic reaction (other): The sleepiness the fatigue makes it hard to do anything. I wake up and still so sleepy. Had little runny nose. and slight sore throat.

Release 9 — days 1–6 daily, dose 2

2021-06-25

Systemic reaction (other): Dizzyness and offbalance

2021-06-26

Systemic reaction (other): Dizziness and feet swelling

2021-06-27

Systemic reaction (other): Dizziness , feet swelling , easy bruising

2021-06-28

Systemic reaction (other): Difficulty breathing, dizzyness, feet swelling

2021-06-29

Systemic reaction (other): Dizziness. Feet swelling

Release 9 — day 7, dose 2

2021-06-30

Systemic reaction (other): Dizziness, trouble breathing, feet swelling

Release 9 — day 14, dose 2

2021-07-07

Symptoms: Feet swelling. Hard time breathing.

Release 9 — day 28, dose 2

2021-07-21

Symptoms: Extra tired. Swelling feet. Difficulty breathing

Release 9 — day 35, dose 2

2021-07-28

Symptoms: So very sleepy. Hard time staying awake.

Release 9 — day 42, dose 2

2021-08-04

Symptoms: Rash on legs and rash on stomach. Very tired. Headache worse. Body aches.

Release 9 — 3 months, dose 2

2021-09-23

Symptoms: Swollen belly with lines that feel like bruises

Release 11 — day 14, dose 3

2022-01-21

Symptoms: Coughing, runny nose, body ache, sore throat

Release 11 — day 28, dose 3

2022-02-03

Symptoms: Period when zhouldnt have one

Release 11 — day 42, dose 3

2022-02-16

Symptoms: Stomach pains. Sore throat. Runny nose. Bruise easily.

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	Abdominal distension	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Abdominal tenderness	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Increased tendency to bruise	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Somnolence	✓	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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