4JV-16755-94414

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 190 / PA
Registered: 2021-03-21

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

Timeline

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cough late last nite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Resolved cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — day 14, dose 1
MedDRA: Asthenia, Fatigue, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue is the only issue...cannot get enough sleep. Very little energy:(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Unending fatigue not relieved by extra sleep:(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Just ongoing fatigue:(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches that are now daily after the 2nd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 35, dose 2
MedDRA: Fatigue, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased and sustained Fatigue that is not normal or relieved by rest/sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue that will not cease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Self-medication, Sinus disorder, Telemedicine — 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

Free text: Sinusitis-like symptoms x 5-6 wks unrelieved by OTC meds. Telemed with my MD 2 days ago. On antibiotics and prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Could Not Reach Participant
2021-07-23
Call 2 — Could Not Reach Participant
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Fever of 101.8, chills, body aches began on 4/7 which resolved within 24 hrs. Took 2 home tests one overnight on 4/8: negative and one on 4/10 negative. One person at my job tested positive on 4/5 ( no close contact) a second this morning on pcr.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Cough late last nite

2021-03-23

Systemic reaction (other): Resolved cough

Release 6 — day 14, dose 1

2021-04-04

Symptoms: Fatigue is the only issue...cannot get enough sleep. Very little energy:(

Release 7 — day 14, dose 2

2021-04-25

Symptoms: Unending fatigue not relieved by extra sleep:(

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Just ongoing fatigue:(

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Headaches that are now daily after the 2nd vaccine

Release 8 — day 35, dose 2

2021-05-16

Symptoms: Increased and sustained Fatigue that is not normal or relieved by rest/sleep

Release 8 — day 42, dose 2

2021-05-23

Symptoms: Fatigue that will not cease

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Sinusitis-like symptoms x 5-6 wks unrelieved by OTC meds. Telemed with my MD 2 days ago. On antibiotics and prednisone

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Fever of 101.8, chills, body aches began on 4/7 which resolved within 24 hrs. Took 2 home tests one overnight on 4/8: negative and one on 4/10 negative. One person at my job tested positive on 4/5 ( no close contact) a second this morning on pcr. cut off by CDC

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	Asthenia	✓	✓	✓
SD	Chills	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Telemedicine	✓	✓	✓
SRO	Cough	✓	✓	✓

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