3PL-15513-53808

4 vaccinations 12 coded responses 47 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 800 / CO
Registered: 2021-04-06

Relationship: Self
Race: White
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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — day 7, dose 1
MedDRA: Disturbance in attention, Dysgeusia — Feeling: Good

Free text: Strange taste in mouth. Taste like an artificial seeetner. I had it the past two days. Today it is subsiding . I forgot to report last week. The day I got the injection, I had a weird lack of awareness .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chills, Diarrhoea, Headache, Myalgia, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: I think I have the Nora iris Joint and muscle pain, nausea and vomiting, severe diarrhea , chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Pfizer-BioNTech
2021-11-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen glands in neck. Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 21, dose 3
MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and muscle weekness

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 28, dose 3
MedDRA: Fatigue, Rhinorrhoea, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose. Scratchy throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 35, dose 3
MedDRA: Arthralgia, Ear pain, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Started yesterday (January 3) Sore throat, headache, joint pain, stuffy nose and earache.

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — day 42, dose 3
MedDRA: Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Last night a sore throat started, stuffy nose and an headache..

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Diarrhoea, Nausea — Feeling: Good

Free text: Stomach pain, diarrhea, nausea . It lasted two weeks

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Dose 4 — Moderna
2022-12-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-15
Survey response — 3 months, dose 4
MedDRA: Cough, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-14
Survey response — 6 months, dose 4
MedDRA: Ageusia, Dysgeusia, Fatigue — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No
4	2022-12-13	Moderna	No

Free text

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Strange taste in mouth. Taste like an artificial seeetner. I had it the past two days. Today it is subsiding . I forgot to report last week. The day I got the injection, I had a weird lack of awareness .

Release 8 — day 21, dose 2

2021-05-17

Symptoms: I think I have the Nora iris Joint and muscle pain, nausea and vomiting, severe diarrhea , chills

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Extreme tiredness

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Swollen glands in neck. Sore throat

Release 10 — day 21, dose 3

2021-12-21

Symptoms: Fatigue and muscle weekness

Release 10 — day 28, dose 3

2021-12-29

Symptoms: Runny nose. Scratchy throat and fatigue

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Started yesterday (January 3) Sore throat, headache, joint pain, stuffy nose and earache.

Release 10 — day 42, dose 3

2022-01-11

Symptoms: Last night a sore throat started, stuffy nose and an headache..

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Stomach pain, diarrhea, nausea . It lasted two weeks

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Fatigue

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 pain upper	·	·	✓
SD	Ageusia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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