3NY-10852-06798

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 060 / CT
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-14
Survey response — day 7, dose 1
MedDRA: Laboratory test — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood work and x-rays dr ordered.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Pyrexia, Urinary tract infection — Feeling: Poor · Be unable to work

Free text: Still running fever Drs determined possible UTI and some UTI symptoms. I have been provided antibiotics. Today is 3rd day on antibiotics.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: My UTI might be coming back. Need to schedule another appointment with my Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 35, dose 2
MedDRA: Erythema, Pain, Rash, Rash erythematous, Skin exfoliation, Swelling — Feeling: Good

Free text: Red skin rash on left elbow,. Same arm as vaccine. Red, sore and swollen. Some skin peeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Another uti. · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Another uti. Been working with drs to find solution · Healthcare visit (other): In person Dr visits

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Healthcare visit (other): Covid test

Release 7 — day 7, dose 1

2021-04-14

Healthcare visit (other): Blood work and x-rays dr ordered.

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Still running fever Drs determined possible UTI and some UTI symptoms. I have been provided antibiotics. Today is 3rd day on antibiotics.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: My UTI might be coming back. Need to schedule another appointment with my Dr

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Red skin rash on left elbow,. Same arm as vaccine. Red, sore and swollen. Some skin peeling.

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Another uti.

Healthcare visit (other): Dr office visit

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Another uti. Been working with drs to find solution

Healthcare visit (other): In person Dr visits

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	Laboratory test	✓	✓	✓
HCVO	Office visit	✓	·	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓

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