47A-25271-92580

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Good

Free text: fever last night 99.5 for only a few hours. my normal temp is typically 97.5 (all fine today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Self-medication — Feeling: Fair · Headache

Free text: Not certain headache (all day) related to vaccine. Took two Advil.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: rash came on suddenly early evening today. Rash 'hurt' more than itch (although periodically itched.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Pruritus — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: 4" area on stomach pain itch appeared suddenly and disappeared after 8 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 35, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: slight dry cough, mngr sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 42, dose 3
MedDRA: Bronchitis, Chest X-ray abnormal, Cough, Office visit, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed Bronchitis (had chest x-ray).. dry painful cough, developed 101. degree F temperature, painful cough and major congestion continued. COVID-19 rapid test at physician's office was Negative. Treated with Azithromycin. Currently healing. · Healthcare visit (other): My physician's office.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-06
Survey response — 3 months, dose 3
MedDRA: Bronchitis, Fatigue, Headache, Malaise, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Recovered from bad bronchitis Nov thru Dec. This week very fatigued, headache, and not feeling well. will check with my doctor. No sore throat, fever, or runny nose. received 3rd vaccine (all pfizer) Oct 05, 2021. · Healthcare visit (other): personal physician in office

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-10
Call 1 — Left Voicemail
2022-10-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): fever last night 99.5 for only a few hours. my normal temp is typically 97.5 (all fine today)

2021-02-26

Systemic reaction (other): Not certain headache (all day) related to vaccine. Took two Advil.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): rash came on suddenly early evening today. Rash 'hurt' more than itch (although periodically itched.)

2021-03-18

Systemic reaction (other): 4" area on stomach pain itch appeared suddenly and disappeared after 8 hrs.

Release 10 — day 35, dose 3

2021-11-09

Symptoms: slight dry cough, mngr sore throat.

Release 10 — day 42, dose 3

2021-11-16

Symptoms: Developed Bronchitis (had chest x-ray).. dry painful cough, developed 101. degree F temperature, painful cough and major congestion continued. COVID-19 rapid test at physician's office was Negative. Treated with Azithromycin. Currently healing.

Healthcare visit (other): My physician's office.

Release 10 — 3 months, dose 3

2022-01-06

Symptoms: Recovered from bad bronchitis Nov thru Dec. This week very fatigued, headache, and not feeling well. will check with my doctor. No sore throat, fever, or runny nose. received 3rd vaccine (all pfizer) Oct 05, 2021.

Healthcare visit (other): personal physician in office

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	Bronchitis	·	·	✓
SD	Chest X-ray abnormal	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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