4KW-16250-66848

3 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 366 / AL
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Fuzzy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Petechiae — Feeling: Good · Site: Itching

Free text: Petechia very mild along abdomen, trunk, under arm pits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Petechiae — Feeling: Fair · Fatigue or tiredness

Free text: Noticed very small amount of petechia on abdomen/trunk and upper thigh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 2
MedDRA: Petechiae — Feeling: Good · Fatigue or tiredness

Free text: Still have mild petechia on abdomen, trunk, upper thighs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 14, dose 2
MedDRA: Petechiae — Feeling: Fair

Free text: Mild petechiae on abdomen, upper thighs, trunk, breasts, neck, and one on forehead.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Pfizer-BioNTech
2022-01-21
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · 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: Runny nose, headache, fatigue, sore throat, chest tightness, congestion, cough, aches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 12 months, dose 2
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)
2022-01-21
Call 1 — Left Voicemail
2022-01-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-26
Survey response — 6 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Upper respiratory infection, congestion, coughing, severe sore throat

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Fuzzy headed

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Petechia very mild along abdomen, trunk, under arm pits

2021-01-25

Systemic reaction (other): Noticed very small amount of petechia on abdomen/trunk and upper thigh

Release 2 — day 7, dose 2

2021-01-26

Systemic reaction (other): Still have mild petechia on abdomen, trunk, upper thighs

Release 3 — day 14, dose 2

2021-02-02

Symptoms: Mild petechiae on abdomen, upper thighs, trunk, breasts, neck, and one on forehead.

Release 11 — 12 months, dose 2

2022-01-21

Symptoms: Runny nose, headache, fatigue, sore throat, chest tightness, congestion, cough, aches.

Release 11 — 6 months, dose 3

2022-05-26

Symptoms: Upper respiratory infection, congestion, coughing, severe sore throat

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	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Petechiae	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Petechiae	✓	✓	✓

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