4EX-21214-79576

1 vaccination 8 coded responses 15 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 999 / AK
Registered: 2021-08-12

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

Registered dependents

89E-18343-73239 Child or adolescent in my care · Female · 2021-08-12

Timeline

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

2021-08-11
Dose 1 — Pfizer-BioNTech
2021-08-12
Registered in v-safe
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Ear pain, Lymphadenopathy, Neck pain, Paranasal sinus discomfort, Rhinorrhoea, Sinus congestion — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose. Sinus pressure & congestion. Dizziness, ear aches,swollen neck glands. Horrible neck pain. Chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Migraine, Paranasal sinus discomfort, Sinus congestion — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe sinus pressure & congestion. Ear aches. Migraine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia, Cough, Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Loss of taste & smell. Severe congestion. Severe cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Survey response — day 7, dose 1
MedDRA: Ageusia, Anosmia, Lymphadenopathy, Migraine, Respiratory tract congestion — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Loss of taste & smell, swollen neck glands, severe congestion & migraine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 14, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Good

Free text: Loss of taste & smell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-08
Survey response — day 28, dose 1
MedDRA: Hypogeusia, Hyposmia — Feeling: Good

Free text: I still can't taste or smell a lit of things.

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-11-10
Survey response — 3 months, dose 1
MedDRA: Ageusia, Anosmia, Dysgeusia, Parosmia — Feeling: Good

Free text: Bad tastes & smells. Sometimes no taste or smell.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-08-13
Survey response — 12 months, dose 1
MedDRA: Arthritis, Ear infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Double ear infection and severe inflammation in my joints.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-11	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-14

Systemic reaction (other): Runny nose. Sinus pressure & congestion. Dizziness, ear aches,swollen neck glands. Horrible neck pain. Chest pain

2021-08-15

Systemic reaction (other): Severe sinus pressure & congestion. Ear aches. Migraine

2021-08-17

Systemic reaction (other): Loss of taste & smell. Severe congestion. Severe cough

Release 9 — day 7, dose 1

2021-08-18

Systemic reaction (other): Loss of taste & smell, swollen neck glands, severe congestion & migraine

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Loss of taste & smell

Release 9 — day 28, dose 1

2021-09-08

Symptoms: I still can't taste or smell a lit of things.

Release 10 — 3 months, dose 1

2021-11-10

Symptoms: Bad tastes & smells. Sometimes no taste or smell.

Release 12 — 12 months, dose 1

2022-08-13

Symptoms: Double ear infection and severe inflammation in my joints.

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	Ageusia	✓	·	✓
SD	Anosmia	✓	·	✓
SD	Arthritis	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Ear infection	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Hyposmia	·	·	✓
SD	Parosmia	·	·	✓
SRO	Ageusia	✓	·	✓
SRO	Anosmia	✓	·	✓
SRO	Chest pain	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Ear pain	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Migraine	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Paranasal sinus discomfort	✓	·	✓
SRO	Respiratory tract congestion	✓	·	✓
SRO	Rhinorrhoea	✓	·	✓
SRO	Sinus congestion	✓	·	✓

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