3YV-30644-36757

4 vaccinations 12 coded responses 50 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 144 / NY
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Free text: Vivid dreams (not scary, just interesting).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Apathy, Disturbance in attention — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Mild anxiety, lack of motivation and concentration. Not sure if vaccine related or other life circumstances.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Dose 3 — Pfizer-BioNTech
2021-08-19
Survey response — day 0, dose 3
MedDRA: Injection site hypoaesthesia — Feeling: Good

Free text: Numbness of area where shot was given.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
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 work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday I had some random stabbing pain in my non-injection arm.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-23
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good

Free text: For two days I had a mild sore throat and a stuffy head. I got tested and tested negative.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-23
Dose 4 — Pfizer-BioNTech
2022-01-24
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Throat pain (those started before I got the booster)

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Coughing (started before I got booster)

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Common cold symptoms (started before booster)

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Common cold (started before booster)

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Common cold (started before booster)

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — day 7, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Common cold (started before booster)

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-02-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-02-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-02-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-08-19	Pfizer-BioNTech	No
4	2022-01-23	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Vivid dreams (not scary, just interesting).

2021-03-29

Systemic reaction (other): Mild anxiety, lack of motivation and concentration. Not sure if vaccine related or other life circumstances.

Release 9 — day 0, dose 3

2021-08-19

Systemic reaction (other): Numbness of area where shot was given.

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Yesterday I had some random stabbing pain in my non-injection arm.

Release 9 — day 35, dose 3

2021-09-23

Symptoms: For two days I had a mild sore throat and a stuffy head. I got tested and tested negative.

Release 11 — days 1–6 daily, dose 4

2022-01-24

Systemic reaction (other): Sore throat

2022-01-25

Systemic reaction (other): Throat pain (those started before I got the booster)

2022-01-26

Systemic reaction (other): Coughing (started before I got booster)

2022-01-27

Systemic reaction (other): Common cold symptoms (started before booster)

2022-01-28

Systemic reaction (other): Common cold (started before booster)

2022-01-29

Systemic reaction (other): Common cold (started before booster)

Release 11 — day 7, dose 4

2022-01-30

Systemic reaction (other): Common cold (started before booster)

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	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Apathy	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Injection site hypoaesthesia	✓	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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