3ZR-94758-16628

3 vaccinations 5 coded responses 31 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 923 / CA
Registered: 2020-12-23

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Registered dependents

JWB-24203-14280 Child or adolescent in my care · Female · 2021-09-28

Timeline

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

2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-23
Registered in v-safe
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Frequent bowel movements — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Had multiple bowel movements today only, concern for diarrhea but then subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain, Peripheral swelling, Somnolence — Feeling: Good · Site: Pain, Swelling

Free text: I have mildly swollen hands, yesterday I had more pain than expected if I bumped myself and felt drowsy/tired. Took a nap in the evening which I never do. Not tired today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 35, dose 2
MedDRA: Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache. I usually dont have headaches. This experience was unique in the fact that I had a bothersome headache not it didnt response to taking analgesic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Nausea, Pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Very mild today for aches, had bout of nausea yesterday afternoon and also bout of fatigue in the afternoon

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-26
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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

Free text: Covid 19 infection

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
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)
2022-09-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-26	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): Had multiple bowel movements today only, concern for diarrhea but then subsided

Release 1 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): I have mildly swollen hands, yesterday I had more pain than expected if I bumped myself and felt drowsy/tired. Took a nap in the evening which I never do. Not tired today.

Release 4 — day 35, dose 2

2021-02-16

Symptoms: Headache. I usually dont have headaches. This experience was unique in the fact that I had a bothersome headache not it didnt response to taking analgesic.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Very mild today for aches, had bout of nausea yesterday afternoon and also bout of fatigue in the afternoon

Release 12 — 12 months, dose 3

2022-09-26

Symptoms: Covid 19 infection

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	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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