3N2-13622-56065

5 vaccinations 10 coded responses 34 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 631 / MO
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Survey response — day 0, dose 1
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness

Free text: A little coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Muscle or body aches

Free text: I had a few ( 3-4)coughing episodes last evening and during the night. TheseWere controlled with Benadryl and Robitussin cough medicine. Symptoms gone by mid morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Nausea during the night ... moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Pain, Reaction to previous exposure to any vaccine, Tenderness — Feeling: Good · Site: Pain

Free text: My arm is only sore to the touch or when raising up all the way. I also had a mild left earache last night... about the same time after my first shot I had one too. Better today on both accounts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 2
MedDRA: Dizziness, Nausea — Feeling: Good

Free text: Mild dizziness and nausea AM. Better in PM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma flare up due to allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-17
Dose 3 — Pfizer-BioNTech
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-19
Dose 4 — Pfizer-BioNTech
2022-03-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-08
Dose 5 — Pfizer-BioNTech
2022-09-22
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 35, dose 5
MedDRA: Asthma, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Just a regular asthma flare up from ragweed and mold. · Healthcare visit (other): For an order of prednisone

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-08-17	Pfizer-BioNTech	No
4	2022-01-19	Pfizer-BioNTech	No
5	2022-09-08	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): A little coughing

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): I had a few ( 3-4)coughing episodes last evening and during the night. TheseWere controlled with Benadryl and Robitussin cough medicine. Symptoms gone by mid morning.

2021-02-14

Systemic reaction (other): Nasal congestion

2021-02-15

Systemic reaction (other): Nausea during the night ... moderate

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): My arm is only sore to the touch or when raising up all the way. I also had a mild left earache last night... about the same time after my first shot I had one too. Better today on both accounts.

2021-03-07

Systemic reaction (other): Dizziness

2021-03-08

Systemic reaction (other): Slight dizziness

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Mild dizziness and nausea AM. Better in PM

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Asthma flare up due to allergies

Release 12 — day 35, dose 5

2022-10-13

Symptoms: Just a regular asthma flare up from ragweed and mold.

Healthcare visit (other): For an order of prednisone

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	Unevaluable event	·	·	✓
SD	Asthma	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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