43Y-20413-09258

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 752 / TX
Registered: 2021-03-12

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

L84-16853-87165 Child or adolescent in my care · Male · 2021-11-11

Timeline

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia- difficulty getting to sleep, dont think its related to the shot but its weird for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to work

Free text: Food tastes weird and gross, especially meats

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: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling jittery, Insomnia, Restless legs syndrome — Feeling: Fair

Free text: I feel jittery like adhd or restless legs. And did not sleep well last night. Maybe unrelated to vaccine

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 · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Weather related migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Office visit, Tooth abscess — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Abscesses tooth (nothing to do with the vaccine) · Healthcare visit (other): Dentist visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2021-11-06
Dose 3 — Pfizer-BioNTech
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: 1-3 days after the shot I did have sore arm and shoulder but it's better now

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-20
Survey response — day 14, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Good

Free text: Asthma slightly worse

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, probably weather related

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-08
Survey response — 12 months, dose 3
MedDRA: Blood cholesterol increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: High cholesterol · Healthcare visit (other): Annual physical

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-09
Call 2 — Left Voicemail
2022-11-09
Call 1 — Left Voicemail
2022-11-09
Call successful
Not applicable - Accidental Reporting
2022-11-09
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	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-11-06	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Insomnia- difficulty getting to sleep, dont think its related to the shot but its weird for me

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Food tastes weird and gross, especially meats

2021-03-29

Systemic reaction (other): I feel jittery like adhd or restless legs. And did not sleep well last night. Maybe unrelated to vaccine

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Weather related migraine

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Abscesses tooth (nothing to do with the vaccine)

Healthcare visit (other): Dentist visit

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): 1-3 days after the shot I did have sore arm and shoulder but it's better now

Release 10 — day 14, dose 3

2021-11-20

Symptoms: Asthma slightly worse

Release 10 — day 42, dose 3

2021-12-20

Symptoms: Headaches, probably weather related

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: High cholesterol

Healthcare visit (other): Annual physical

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	Office visit	·	·	✓
SD	Asthma	·	·	✓
SD	Blood cholesterol increased	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Tooth abscess	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Restless legs syndrome	✓	✓	✓

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