4CA-54004-02038

3 vaccinations 13 coded responses 21 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 921 / CA
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Pain at site of first injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Still pain at first shot injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Pain — Feeling: Good

Free text: Still cant sleep on left side due to pain of first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Injection site from first shot still painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Still pain at site of first injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-23
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 2
MedDRA: Arthralgia, Loss of personal independence in daily activities, Lymph node pain, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shoulder joints, muscles, and glands still very sore. Difficult to get dressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 28, dose 2
Feeling: Poor

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

Adult check-in
2021-04-27
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Ear pain, Oropharyngeal pain — Feeling: Fair

Free text: Diarrhea, sore throat, earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Cough, Decreased appetite, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Sneezing, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, coughing, congestion, fatigue, lack of appetite, sneezing, sleeping all day without eating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, headache, diahria

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Cough, Diarrhoea, Fatigue, Respiratory tract congestion, Rhinorrhoea, Sneezing, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Coughing, vomiting, diarrhea, sneezing, runny nose, congestion, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-07
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2023-02-05
Survey response — 12 months, dose 3
MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech
3	2022-02-04	Pfizer-BioNTech	Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Pain at site of first injection

2021-02-20

Systemic reaction (other): Still pain at first shot injection site

2021-02-21

Systemic reaction (other): Still cant sleep on left side due to pain of first shot

2021-02-22

Systemic reaction (other): Injection site from first shot still painful

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Still pain at site of first injection

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): Swollen lymph nodes

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Sore throat and headache

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Shoulder joints, muscles, and glands still very sore. Difficult to get dressed

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Diarrhea, sore throat, earache

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Sore throat, coughing, congestion, fatigue, lack of appetite, sneezing, sleeping all day without eating

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Nausea, headache, diahria

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Coughing, vomiting, diarrhea, sneezing, runny nose, congestion, fatigue

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	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓

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