46V-24121-76800

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 176 / PA
Registered: 2021-05-23

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

Timeline

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

2021-04-30
Dose 1 — Pfizer-BioNTech
2021-05-21
Dose 2 — Pfizer-BioNTech
2021-05-23
Registered in v-safe
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chromaturia — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Yellow-green urine output each day since dose 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Survey response — day 42, dose 2
MedDRA: Dry skin, Pruritus, Rash, Self-medication — Feeling: Fair

Free text: Itchy, dry skin rash on hands/wrist since March has worsened. Topical steroids have helped a little.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-21
Survey response — 6 months, dose 2
MedDRA: Inflammation, Pre-existing disease, Rash, Rash pruritic, Respiratory tract congestion, Sneezing — Feeling: Good · 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: #NAME?

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — 6 months, dose 2
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 · 1 call case(s)
2021-11-24
Call 1 — Left Voicemail
2022-05-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-06
Dose 3 — Moderna
2022-06-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Electric shock sensation — Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Dizziness/ brain zaps (similar to those experienced with SSRI withdrawal)

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-06-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-06-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-07-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-05
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Nasopharyngitis, Pre-existing disease, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Allergy/ sneeze attack for one day last month and the month before, and a minor summer head cold. I have experienced these "sneeze attacks" once or twice a season over the past few years but has gotten slightly worse (unsure of cause).

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — 6 months, dose 3
MedDRA: Asthenia, Cough, Pain, Pyrexia, Rales, SARS-CoV-2 test positive, Secretion discharge, Sneezing, Wheezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Wet cough, crackling/wheezing sound in lungs, sneezy and mucous-y, achey and weak, feverish, tested positive for COVID.

MedDRA releases: 2024-11 · check-in free text available
2023-06-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Pfizer-BioNTech
2	2021-05-21	Pfizer-BioNTech
3	2022-06-06	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): Yellow-green urine output each day since dose 2.

Release 9 — day 42, dose 2

2021-07-02

Symptoms: Itchy, dry skin rash on hands/wrist since March has worsened. Topical steroids have helped a little.

Release 10 — 6 months, dose 2

2021-11-21

Symptoms: #NAME?

Release 11 — days 1–6 daily, dose 3

2022-06-08

Systemic reaction (other): Dizziness/ brain zaps (similar to those experienced with SSRI withdrawal)

Release 12 — 3 months, dose 3

2022-09-05

Symptoms: Allergy/ sneeze attack for one day last month and the month before, and a minor summer head cold. I have experienced these "sneeze attacks" once or twice a season over the past few years but has gotten slightly worse (unsure of cause).

Release 12 — 6 months, dose 3

2022-12-09

Symptoms: Wet cough, crackling/wheezing sound in lungs, sneezy and mucous-y, achey and weak, feverish, tested positive for COVID.

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	Asthenia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rales	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Wheezing	·	·	✓
SRO	Chromaturia	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Electric shock sensation	·	·	✓

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