38H-19222-13464

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 723 / AR
Registered: 2021-03-05

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good

Free text: Feeling really sleepy all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itching on hands, arms, neck and legs

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: Musculoskeletal discomfort, Pruritus — Feeling: Good

Free text: Itching on hands, arms, legs, neck and upper body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itching: hands, arms, neck, legs, back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 14, dose 1
MedDRA: Pruritus, Skin exfoliation — Feeling: Good

Free text: Itching and skin peeling on my hands, arms, neck , shoulders, upper back and legs on March 16,17 and 18.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Headache

Free text: Itching on my hands, arms, neck, upper chest, legs and thighs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Medical counselling, Product storage error — Feeling: Good

Free text: I was called by the pharmacy where ejection was given on 10/05/2021 and told that I needed to come back in today and get another ejection because what I was given had sit out too long. I was advised by other medical sources to wait 3 weeks to retake

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): No

2021-03-07

Systemic reaction (other): No

2021-03-09

Systemic reaction (other): Feeling really sleepy all day

2021-03-10

Systemic reaction (other): Itching on hands, arms, neck and legs

2021-03-11

Systemic reaction (other): Itching on hands, arms, legs, neck and upper body

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Itching: hands, arms, neck, legs, back

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Itching and skin peeling on my hands, arms, neck , shoulders, upper back and legs on March 16,17 and 18.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Slight headache

2021-03-28

Systemic reaction (other): Itching on my hands, arms, neck, upper chest, legs and thighs

Release 10 — day 0, dose 3

2021-10-05

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): I was called by the pharmacy where ejection was given on 10/05/2021 and told that I needed to come back in today and get another ejection because what I was given had sit out too long. I was advised by other medical sources to wait 3 weeks to retake cut off by CDC

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	Pruritus	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Medical counselling	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Product storage error	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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