3RP-54532-35032

5 vaccinations 12 coded responses 67 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 021 / MA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Good

Free text: Unclear but had depression feeling for a few days niw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Had a number of headaches of a sort I dont get and also a few close together.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, 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
2021-02-24
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 work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Insomnia — Feeling: Good · Site: Pain

Free text: Mild depression and insomnia which I noticed in week after first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — day 7, dose 2
MedDRA: Depression — Feeling: Good

Free text: Mild depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Vomiting

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · Site: Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school

Free text: Head ache but probably unrelated.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Survey response — day 42, dose 3
MedDRA: Hordeolum — Feeling: Fair · Be unable to work or attend school

Free text: Stye

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-09
Survey response — day 0, dose 4
MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling · Be unable to work or attend school

Free text: Tender skin

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Pain of skin — 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

Free text: Skin tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — days 1–6 daily, dose 4
MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school

Free text: Skin tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Survey response — day 28, dose 4
MedDRA: Ear infection — Feeling: Good

Free text: Ear infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-20
Survey response — day 42, dose 4
MedDRA: Nausea — Feeling: Fair · Be unable to work or attend school

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Headache — Feeling: Good

Free text: I often 5 x a week. Wake up with a headache and I have generalized joint pain. I think it started after getting what I assume was Covid Nov. 21

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Dose 5 — Pfizer-BioNTech
2022-10-11
Health check-in — day 0, dose 5
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work or attend school

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-11
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-05-09	Moderna	No
5	2022-10-11	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Unclear but had depression feeling for a few days niw

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Had a number of headaches of a sort I dont get and also a few close together.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Mild depression and insomnia which I noticed in week after first shot.

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): Mild depression

Release 10 — day 21, dose 3

2021-10-27

Symptoms: Head ache but probably unrelated.

Release 10 — day 42, dose 3

2021-11-17

Symptoms: Stye

Release 11 — day 0, dose 4

2022-05-09

Systemic reaction (other): Tender skin

Release 11 — days 1–6 daily, dose 4

2022-05-10

Systemic reaction (other): Skin tenderness

2022-05-11

Systemic reaction (other): Skin tenderness

Release 11 — day 28, dose 4

2022-06-06

Symptoms: Ear infection

Release 12 — day 42, dose 4

2022-06-20

Symptoms: Nausea

Release 12 — 3 months, dose 4

2022-08-08

Symptoms: I often 5 x a week. Wake up with a headache and I have generalized joint pain. I think it started after getting what I assume was Covid Nov. 21

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	Ear infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Hordeolum	·	·	✓
SD	Nausea	·	·	✓
SRO	Depression	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain of skin	·	·	✓

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