4G4-43065-74057

3 vaccinations 10 coded responses 20 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-01-27

Relationship: Self
Race: Other
Ethnicity: 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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Survey response — day 0, dose 1
MedDRA: Somnolence — Feeling: Good · Nausea

Free text: Sleepy both went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Slight headache went away fast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel like im getting a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Fever · Chills · Be unable to do your normal daily activities

Free text: Very mild feel like i have a head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Chills, Headache, Fatigue or tiredness

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

Adult check-in
2021-03-10
Survey response — day 21, dose 2
MedDRA: Chills, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ache, chills, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 28, dose 2
MedDRA: Headache, Pain, Thirst — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache body ache very thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Chills, Fatigue, Headache, Malaise, Nausea, Office visit, SARS-CoV-2 test negative, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got very sick for about 2wks, 2 1/2 wks. They had me take a covet test. It was negative. I had chills, nausea, very tired. Didnt leave the house. I had a lot of mucus headaches Dr. Felt I might have had amother birus of some kind.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Dose 3 — Pfizer-BioNTech
2022-02-17
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Lacrimation increased, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Shortness of breath. Constant runny nose and eyes.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Cardiac pacemaker insertion, Cardiovascular disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: I might have another blockage in my heart and i now have a pace maker.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — 12 months, dose 3
MedDRA: Chills, Feeling of body temperature change, Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Chiles hot and cold headache runny nose. Unable to do anything. This went on for 3 days and then stopped.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-11-04	Pfizer-BioNTech	No

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): Sleepy both went away

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Slight headache went away fast

2021-01-30

Systemic reaction (other): I feel like im getting a cold

2021-01-31

Systemic reaction (other): Very mild feel like i have a head cold

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Ache, chills, headache

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Headache body ache very thirsty

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: I got very sick for about 2wks, 2 1/2 wks. They had me take a covet test. It was negative. I had chills, nausea, very tired. Didnt leave the house. I had a lot of mucus headaches Dr. Felt I might have had amother birus of some kind.

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: Shortness of breath. Constant runny nose and eyes.

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: I might have another blockage in my heart and i now have a pace maker.

Release 12 — 12 months, dose 3

2022-11-04

Symptoms: Chiles hot and cold headache runny nose. Unable to do anything. This went on for 3 days and then stopped.

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	Cardiac pacemaker insertion	·	·	✓
SD	Cardiovascular disorder	·	·	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Feeling of body temperature change	·	·	✓
SD	Headache	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Malaise	✓	·	✓
SD	Nausea	✓	·	✓
SD	Office visit	✓	·	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Secretion discharge	✓	·	✓
SD	Thirst	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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