4JK-27619-60698

5 vaccinations 13 coded responses 55 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 221 / VA
Registered: 2021-03-31

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

Registered dependents

6T9-18274-47807 Adult relative or friend · Male · 2021-11-06

XY5-24742-10648 Adult relative or friend · Male · 2021-11-06

Timeline

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

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, tiredness, fatigue, headache only today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Fatigue, Heart rate increased — Feeling: Fair

Free text: Fast Pulse, heavy chest, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia, Self-medication — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: In the last weekend 2-3 daysExtremely fatigued, painful muscles hardly breathe, sore throat, feverish feeling without fever I used Advil and after slowly had getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue/ muscle pain/ joints pain/ headache/ sore throat/ feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Asthenia, Chest pain, Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Weakness, chest pain, heavy breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I have stopped my thyroid medicines what I used over 7 years

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-28
Survey response — day 28, dose 3
MedDRA: Arthralgia, Back pain, Ear pain, Sinus pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus+shoulder +lower back+ear+joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Fatigue, Menstrual disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Period problems, extremely tiredness, joints pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call 3 — Left Voicemail
2022-05-04
Callback requested for
06:00PM ET
2022-07-27
Dose 4 — Pfizer-BioNTech
2022-07-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-22
Survey response — day 21, dose 4
MedDRA: Asthenia, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache ?? sore throat, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-01-26
Survey response — 6 months, dose 4
MedDRA: COVID-19, Dysmenorrhoea, Menstrual disorder, Pre-existing disease, Reaction to previous exposure to any vaccine, Therapeutic response unexpected — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-26
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-27
Call 1 — Requested Callback
2023-01-27
Call 1 — Requested Callback
2023-01-30
Call 2 — Could Not Reach Participant
2023-01-30
Call 2 — Could Not Reach Participant
2023-01-30
Callback requested for
2023-03-11
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2023-03-12
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2023-03-13
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-03-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2023-03-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2023-03-17
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2023-03-18
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2023-03-25
Survey response — day 14, dose 5
MedDRA: Abdominal pain lower, Intermenstrual bleeding, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-04-08
Health check-in — day 28, dose 5
Feeling: Poor

Adult check-in
2023-04-23
Survey response — day 42, dose 5
MedDRA: Arthralgia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-10
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-31	Pfizer-BioNTech	No
4	2022-07-27	Pfizer-BioNTech	No
5	2023-03-11	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Sore throat, tiredness, fatigue, headache only today

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Fast Pulse, heavy chest, fatigue

Release 8 — day 35, dose 2

2021-05-26

Symptoms: In the last weekend 2-3 daysExtremely fatigued, painful muscles hardly breathe, sore throat, feverish feeling without fever I used Advil and after slowly had getting better

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Fatigue/ muscle pain/ joints pain/ headache/ sore throat/ feverish

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Weakness, chest pain, heavy breath

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: I have stopped my thyroid medicines what I used over 7 years

Release 10 — day 28, dose 3

2021-11-28

Symptoms: Sinus+shoulder +lower back+ear+joint pain

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Period problems, extremely tiredness, joints pain

Release 12 — day 21, dose 4

2022-08-22

Symptoms: Headache ?? sore throat, weakness

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 lower	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus pain	·	·	✓
SD	Therapeutic response unexpected	·	·	✓
SD	Unevaluable event	·	·	✓

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