4LJ-83056-32560

4 vaccinations 8 coded responses 50 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 270 / NC
Registered: 2021-01-25

Relationship: Self
Race: White
Ethnicity: Not 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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams, Fatigue — Feeling: Good · Site: Pain

Free text: First 2 nights I was tired but not sleepy and when I did sleep, I had more and stranger than normal dreams.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-15
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Neck pain on side of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Gout, Pain in extremity, Spinal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feels like i have gout in my toes, my knees and hips Ache. I ache across my shoulders, up my neck and down my spine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt pretty good this morning in spite of headache but by lunch fever is back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
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
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Exfoliative rash, Rash, Rash pruritic — Feeling: Good

Free text: I have a bunch of itchy, scaley bumps on my hips and lower stomach. Might not have anything to do with the vaccine but Ive never had them before. I do get a rash on my stomach if I take tetracycline but no other antibiotic is like that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Malaise — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue, headache and general blah feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Dose 3 — Pfizer-BioNTech
2021-09-22
Survey response — days 1–6 daily, dose 3
MedDRA: Hunger — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Was very hungry after injection for 24 hrs, ate way more than normal

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-28
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — 3 months, dose 3
MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head/chest cold, did 2 home tests, both neg. it's just kindergarten crud

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Diarrhea

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-04-25
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-18
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-09-21	Pfizer-BioNTech	No
4	2022-04-18	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): First 2 nights I was tired but not sleepy and when I did sleep, I had more and stranger than normal dreams.

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): Neck pain on side of vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Feels like i have gout in my toes, my knees and hips Ache. I ache across my shoulders, up my neck and down my spine.

2021-02-17

Systemic reaction (other): Felt pretty good this morning in spite of headache but by lunch fever is back

Release 5 — day 21, dose 2

2021-03-08

Symptoms: I have a bunch of itchy, scaley bumps on my hips and lower stomach. Might not have anything to do with the vaccine but Ive never had them before. I do get a rash on my stomach if I take tetracycline but no other antibiotic is like that

Release 6 — day 42, dose 2

2021-03-29

Symptoms: Fatigue, headache and general blah feeling

Release 9 — days 1–6 daily, dose 3

2021-09-22

Systemic reaction (other): Was very hungry after injection for 24 hrs, ate way more than normal

Release 10 — 3 months, dose 3

2021-12-21

Symptoms: Head/chest cold, did 2 home tests, both neg. it's just kindergarten crud

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	Exfoliative rash	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gout	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hunger	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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