4EG-24195-49505

5 vaccinations 18 coded responses 56 check-ins 17 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-02-08

Relationship: Self
Race: Black or African American
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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-08
Survey response — day 0, dose 1
MedDRA: Injection site discomfort — Feeling: Good · Chills

Free text: Minimal discomfort at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Joint pains

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Good · Joint pains

Free text: Deep productive cough, white thick sputum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea, Fatigue — Feeling: Good

Free text: Shortness of breath, fatigue, continued cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Dose 2 — Pfizer-BioNTech
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to work

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Cough, Diarrhoea, Fatigue — Feeling: Fair · Be unable to work

Free text: Diarrhea , fatigue, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-10
Survey response — day 7, dose 3
MedDRA: Neck pain, Pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Arm pain radiates to neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Induration, Pain in extremity, Peripheral swelling, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rt arm pain and swelling. Area hard, no redness, not hot to touch. Very painful. Taking Tylenol and Naproxen with relief. Diarrhea 4-5 times and day for three days. None today thankfully!!! Drinking lots of fluids.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 42, dose 3
MedDRA: Injection site pain, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in Right arm at injection site radiating to neck and lower extremity. Rate 6-7 on pain scale .

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Muscular weakness — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme muscle weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Headache, Pain, Rash — Feeling: Good · Be unable to work or attend school

Free text: Intermittent headaches Continuous body aches Rash

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — day 7, dose 4
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-05-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-12
Survey response — day 35, dose 4
MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache, stomach cramps, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Survey response — day 42, dose 4
MedDRA: Abdominal pain upper, Cough, Headache, Pyrexia, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fishers, stomach cramping, cough, rash, headache

MedDRA releases: 2024-11 · check-in free text available
2022-08-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-13
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-16
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site pain, Injection site warmth, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain radiates from Right injection site up side and back of neck. Site is hot and painful.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-18
Survey response — day 35, dose 5
MedDRA: Cough, Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Headache, cough, body aches, fever, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-14
Survey response — 6 months, dose 5
MedDRA: Cough, Diarrhoea, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-03-01	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-05-08	Pfizer-BioNTech	No
5	2022-09-13	Pfizer-BioNTech	Flu

Free text

Release 3 — day 0, dose 1

2021-02-08

Systemic reaction (other): Minimal discomfort at injection site.

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): None

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Deep productive cough, white thick sputum

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Shortness of breath, fatigue, continued cough

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Extreme fatigue

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Severe fatigue

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Diarrhea , fatigue, cough

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Lightheaded

Release 10 — day 7, dose 3

2021-10-10

Systemic reaction (other): Arm pain radiates to neck

Release 10 — day 21, dose 3

2021-10-24

Symptoms: Rt arm pain and swelling. Area hard, no redness, not hot to touch. Very painful. Taking Tylenol and Naproxen with relief. Diarrhea 4-5 times and day for three days. None today thankfully!!! Drinking lots of fluids.

Release 10 — day 42, dose 3

2021-11-14

Symptoms: Pain in Right arm at injection site radiating to neck and lower extremity. Rate 6-7 on pain scale .

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Extreme muscle weakness.

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Intermittent headaches Continuous body aches Rash

Release 12 — day 35, dose 4

2022-06-12

Symptoms: Severe headache, stomach cramps, nausea

Release 12 — day 42, dose 4

2022-06-19

Symptoms: Fishers, stomach cramping, cough, rash, headache

Release 12 — days 1–6 daily, dose 5

2022-09-16

Systemic reaction (other): Pain radiates from Right injection site up side and back of neck. Site is hot and painful.

Release 12 — day 35, dose 5

2022-10-18

Symptoms: Headache, cough, body aches, fever, 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	Abdominal pain upper	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Induration	·	·	✓
SD	Injection site pain	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Neck pain	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Productive cough	✓	✓	✓

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