3RH-13229-57462

4 vaccinations 12 coded responses 42 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 201 / VA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Fever · Fatigue or tiredness

Free text: a little dizziness after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Nausea

Free text: slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Dyspepsia, Throat tightness — Feeling: Good

Free text: Increased heartburn, and throat constriction (like asthma or allergies)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Acne, Dermatitis contact, Ear discomfort, Hospitalisation, Rash, Rash pruritic, Sepsis, Skin infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Sepsis of the face requiring hospitalization (infected acne)Itchy bumps all over my body (suspected sensitivity to new laundry detergent)Blocked left ear canal

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-10-03
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-03
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Sensitive skin — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Skin sensitivity to temperature

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Survey response — day 35, dose 3
MedDRA: Nasal congestion, Nasal vestibulitis, Rhinalgia, Tenderness — Feeling: Good

Free text: Nasal vestibulitis, pain, tenderness, and swelling in the inside of my right nostril

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Exposure to SARS-CoV-2 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Shortness of breath for over a week with 3 negative PCR tests within that time. Exposure to COVID 2 days before onset of symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Anxiety, Dyspnoea, Nasopharyngitis, Ovarian cyst — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Common cold Ovarian cysts trouble breathing from anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail
2022-09-12
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-03
Survey response — 12 months, dose 3
MedDRA: COVID-19, Sinusitis — Feeling: Good · Be unable to work or attend school, 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, sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-07
Survey response — day 21, dose 4
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Good

Free text: Some trouble breathing, probably just long covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 28, dose 4
MedDRA: Pre-existing disease, Sneezing — Feeling: Good

Free text: sneezing from mold allergies

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-13
Survey response — 6 months, dose 4
MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	Flu
4	2022-09-12	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): a little dizziness after the shot

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): slight sore throat

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Increased heartburn, and throat constriction (like asthma or allergies)

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Sepsis of the face requiring hospitalization (infected acne)Itchy bumps all over my body (suspected sensitivity to new laundry detergent)Blocked left ear canal

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Skin sensitivity to temperature

Release 10 — day 35, dose 3

2021-11-07

Symptoms: Nasal vestibulitis, pain, tenderness, and swelling in the inside of my right nostril

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Shortness of breath for over a week with 3 negative PCR tests within that time. Exposure to COVID 2 days before onset of symptoms.

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Common cold Ovarian cysts trouble breathing from anxiety

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: COVID, sinus infection

Release 12 — day 21, dose 4

2022-10-07

Symptoms: Some trouble breathing, probably just long covid

Release 12 — day 28, dose 4

2022-10-12

Symptoms: sneezing from mold allergies

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	Acne	✓	·	✓
SD	Anxiety	·	·	✓
SD	COVID-19	·	·	✓
SD	Dermatitis contact	✓	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	✓	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal vestibulitis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	·	✓
SD	Rash pruritic	✓	·	✓
SD	Rhinalgia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	○
SD	Sepsis	✓	·	✓
SD	Sinusitis	·	·	✓
SD	Skin infection	✓	·	✓
SD	Sneezing	·	·	✓
SD	Tenderness	·	·	✓
SD	Throat tightness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sensitive skin	·	·	✓

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