3CZ-19669-71197

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-02-21

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
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

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No other symptoms but the I checked

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: No, other than feeling tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Good

Free text: No, took Tylenol for pain, just rested yesterday & felt better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Sluggishness, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No other s & s to report but somehow I feel so tired today. Took a morning nap but still feels sluggish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Felt better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Deafness unilateral, Ear pain, Tinnitus — Feeling: Good

Free text: This is new to me...have ear ache, tinnitus & loss of hearing in left ear for 24 hrs. Will be seeing doc on 4/23.. will let you know results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-10-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No

Free text

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): No other symptoms but the I checked

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): No, other than feeling tired

2021-03-15

Systemic reaction (other): No, took Tylenol for pain, just rested yesterday & felt better today.

2021-03-16

Systemic reaction (other): No

2021-03-17

Systemic reaction (other): No other s & s to report but somehow I feel so tired today. Took a morning nap but still feels sluggish.

2021-03-18

Systemic reaction (other): Felt better today

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): No

Release 7 — day 35, dose 2

2021-04-17

Symptoms: This is new to me...have ear ache, tinnitus & loss of hearing in left ear for 24 hrs. Will be seeing doc on 4/23.. will let you know results.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): None

2021-11-04

Systemic reaction (other): No

2021-11-05

Systemic reaction (other): None

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	Deafness unilateral	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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