3UG-85699-67312

3 vaccinations 4 coded responses 38 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 194 / PA
Registered: 2021-04-12

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Burning sensation where shot was

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-19
Survey response — day 7, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Condition aggravated, Haemorrhoids, Menstruation delayed, Pre-existing disease — Feeling: Fair

Free text: I have external hemorrhoids, one might have a blood clot because it's bluish in color and I've missed my period for unknown reasons, but these are probably unrelated to the vaccine since I have pre-existing stomach conditions to consider.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Survey response — 3 months, dose 2
MedDRA: Ageusia, Fatigue, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: loss of taste for two days, then fever and sore throat for 2-3 days, feeling a bit nauseous and tired today but better overall so fair

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Pfizer-BioNTech
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-06-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Burning sensation where shot was

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): trouble sleeping

Release 8 — day 28, dose 2

2021-05-31

Symptoms: I have external hemorrhoids, one might have a blood clot because it's bluish in color and I've missed my period for unknown reasons, but these are probably unrelated to the vaccine since I have pre-existing stomach conditions to consider.

Release 9 — 3 months, dose 2

2021-08-02

Symptoms: loss of taste for two days, then fever and sore throat for 2-3 days, feeling a bit nauseous and tired today but better overall so fair

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 discomfort	✓	✓	✓
SD	Ageusia	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Haemorrhoids	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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