3QH-16063-74723

4 vaccinations 17 coded responses 45 check-ins 17 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 651 / MO
Registered: 2021-06-04

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

2021-06-03
Dose 1 — Pfizer-BioNTech
2021-06-04
Registered in v-safe
2021-06-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Diarrhea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Some dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-25
Dose 2 — Pfizer-BioNTech
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-07-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-07-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, tiredness, Nasal congestion and cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Survey response — day 35, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Congestion, a mild cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-17
Dose 3 — Moderna
2021-12-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-31
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Knees are very sore but did a lot of walking yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 21, dose 3
MedDRA: Chills, Cough, Headache, Oropharyngeal pain, Pain, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad sore throat, congestion in sinuses, dry cough, mild headache, mild aches, no fever but occasional brief chills - all symptoms are getting better

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat has started again.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-17
Survey response — 6 months, dose 3
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Sore throat but probably from allergies

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Dose 4 — Moderna
2022-07-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-22
Survey response — day 21, dose 4
MedDRA: Sinus congestion — Feeling: Good

Free text: More sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-12
Survey response — day 42, dose 4
MedDRA: Pre-existing disease — Feeling: Good

Free text: Allergies have gone haywire!??

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-30
Survey response — 6 months, dose 4
MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Good

Free text: Congestion, coughing, headache. But it may just be my allergies flaring up.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Pfizer-BioNTech
2	2021-06-25	Pfizer-BioNTech	No
3	2021-12-17	Moderna	No
4	2022-07-01	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-04

Systemic reaction (other): Dizzy

2021-06-05

Systemic reaction (other): Dizzy

2021-06-07

Systemic reaction (other): Dizzy

2021-06-08

Systemic reaction (other): Dizziness

Release 9 — days 1–6 daily, dose 1

2021-06-09

Systemic reaction (other): Dizziness

Release 9 — day 7, dose 1

2021-06-10

Systemic reaction (other): Some dizziness

Release 9 — days 1–6 daily, dose 2

2021-06-29

Systemic reaction (other): Some dizziness.

Release 9 — day 28, dose 2

2021-07-23

Symptoms: Sore throat, tiredness, Nasal congestion and cough

Release 9 — day 35, dose 2

2021-07-30

Symptoms: Congestion, a mild cough

Release 9 — day 42, dose 2

2021-08-06

Symptoms: Dizziness

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Knees are very sore but did a lot of walking yesterday.

Release 10 — day 21, dose 3

2022-01-07

Symptoms: Bad sore throat, congestion in sinuses, dry cough, mild headache, mild aches, no fever but occasional brief chills - all symptoms are getting better

Release 10 — day 35, dose 3

2022-01-21

Symptoms: Sore throat has started again.

Release 12 — 6 months, dose 3

2022-06-17

Symptoms: Sore throat but probably from allergies

Release 12 — day 21, dose 4

2022-07-22

Symptoms: More sinus congestion

Release 12 — day 42, dose 4

2022-08-12

Symptoms: Allergies have gone haywire!??

Release 12 — 6 months, dose 4

2022-12-30

Symptoms: Congestion, coughing, headache. But it may just be my allergies flaring up.

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Sinus congestion	·	·	✓
SRO	Dizziness	✓	✓	✓

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