47E-29449-53040

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 970 / OR
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Hypersomnia, Lip pruritus, Oral discomfort, Oral herpes, Rash, Rash erythematous, Rash pruritic — Feeling: Fair

Free text: I have a T-shaped red, itchy rash on the back of my scalp and down the back of my neck. Itchy on scalp, neck and face. Developed a large cold sore on lip 4days ago. It is itchy and burning. Sleeping more hours than usual. Other

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Joint pains

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Emotional disorder — Feeling: Good · Headache, Muscle or body aches

Free text: Emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Oral herpes, Pruritus — Feeling: Good

Free text: Itching on neck, face and head. Cold sores on lips and in mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — day 14, dose 3
MedDRA: Chest discomfort, Dyspnoea, Fatigue, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, pressure in chest, muscle pain, fatigue, shortness of breath Gerd???

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Survey response — 3 months, dose 3
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: COVID symptoms started December 31 and continued until Jan. 14th. Tested 2nd day after symptoms and was negative, I was not able to find a followup test.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-15
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No

Free text

Release 6 — day 14, dose 1

2021-03-30

Symptoms: I have a T-shaped red, itchy rash on the back of my scalp and down the back of my neck. Itchy on scalp, neck and face. Developed a large cold sore on lip 4days ago. It is itchy and burning. Sleeping more hours than usual. Other

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Achy

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Emotional

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Itching on neck, face and head. Cold sores on lips and in mouth.

Release 10 — days 1–6 daily, dose 3

2021-10-19

Systemic reaction (other): Pain at injection site

Release 10 — day 14, dose 3

2021-11-03

Symptoms: Nausea, pressure in chest, muscle pain, fatigue, shortness of breath Gerd???

Release 10 — 3 months, dose 3

2022-01-14

Symptoms: COVID symptoms started December 31 and continued until Jan. 14th. Tested 2nd day after symptoms and was negative, I was not able to find a followup test.

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	Chest discomfort	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Lip pruritus	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oral discomfort	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Pain	✓	✓	✓

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