3UB-31902-99373

4 vaccinations 10 coded responses 44 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 361 / AL
Registered: 2020-12-29

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Survey response — day 0, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: I was somewhat tired earlier. At 4pm, I was extremely sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: I felt a little sleepy 2 hours and again 24 hours, after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

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

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 6 months, dose 2
MedDRA: COVID-19, Lumbar radiculopathy, Physiotherapy — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I am experiencing a new health condition, lumbar radiculopathy, but this is not related to COVID 19. · Healthcare visit (other): Physical Therapy

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-28
Call successful
Does not wish to fill out VAERS report
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: None other symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No more symptoms to report

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No other symptoms to report.

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

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-14
Survey response — day 14, dose 3
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: I was fatigued and I was not able to complete chores.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extended Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair

Free text: I occasionally have sinus drainage.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Adverse reaction — Feeling: Good · Be unable to work or attend school

Free text: None of my symptoms are related to COVID 19 I have had other health conditions.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, 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
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): I was somewhat tired earlier. At 4pm, I was extremely sleepy.

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): I felt a little sleepy 2 hours and again 24 hours, after the vaccine

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: I am experiencing a new health condition, lumbar radiculopathy, but this is not related to COVID 19.

Healthcare visit (other): Physical Therapy

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): None other symptoms

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): No more symptoms to report

2021-10-02

Systemic reaction (other): No other symptoms to report.

Release 10 — day 14, dose 3

2021-10-14

Symptoms: I was fatigued and I was not able to complete chores.

Release 10 — day 21, dose 3

2021-10-21

Symptoms: Extended Fatigue

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: I occasionally have sinus drainage.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: None of my symptoms are related to COVID 19 I have had other health conditions.

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	Physiotherapy	·	·	✓
SD	Adverse reaction	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Lumbar radiculopathy	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	○	○	○
SRO	No adverse event	·	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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