4QH-21762-72920

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 762 / TX
Registered: 2021-02-07

Relationship: Self
Race: Black or African American
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

2021-02-07
Registered in v-safe
2021-02-07
Dose 1 — Pfizer-BioNTech
2021-02-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dizziness postural, Hypersomnia, Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Peeing about every 30 to 45 minutes. Slept all day only woke up to go to the bathroom. No appetite. Had fresh squeezed kiwi, orange, apple, and lime juice for breakfast. One vanilla Ensure for lunch. Dizzy when standing up and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness exertional, Vision blurred, Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness when standing and walking. Vision problems: blackness, seeing white stars and blurriness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness exertional, Dizziness postural, Productive cough — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Spent most of the day coughing up mucous. Very dizzy when standing and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 7, dose 1
MedDRA: Dizziness postural — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness when standing and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Pfizer-BioNTech
2021-02-28
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Itching · 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

Free text: Dizziness, very stiff neck and arm where I got shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dizziness, Rhinorrhoea, Vision blurred — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Excessive couching sometimes with mucus, dizziness, very blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dizziness, Secretion discharge — Feeling: Fair · 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

Free text: Excessive coughing with mucus, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 2
MedDRA: Cough, Dizziness postural — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness when I stand and walk. Coughing more often than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 28, dose 2
MedDRA: Cough, Dizziness, Pain — Feeling: Good

Free text: Excessive coughing, dizziness, and body aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-07	Pfizer-BioNTech
2	2021-02-28	Pfizer-BioNTech

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Peeing about every 30 to 45 minutes. Slept all day only woke up to go to the bathroom. No appetite. Had fresh squeezed kiwi, orange, apple, and lime juice for breakfast. One vanilla Ensure for lunch. Dizzy when standing up and walking.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Dizziness when standing and walking. Vision problems: blackness, seeing white stars and blurriness.

2021-02-11

Systemic reaction (other): Spent most of the day coughing up mucous. Very dizzy when standing and walking.

2021-02-13

Systemic reaction (other): Dizziness

Release 4 — day 7, dose 1

2021-02-14

Systemic reaction (other): Dizziness when standing and walking.

Release 4 — day 0, dose 2

2021-02-28

Systemic reaction (other): Dizziness

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Dizziness, very stiff neck and arm where I got shot

2021-03-02

Systemic reaction (other): Excessive couching sometimes with mucus, dizziness, very blurry vision

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Excessive coughing with mucus, dizziness

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Dizziness when I stand and walk. Coughing more often than usual.

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Excessive coughing, dizziness, and body aches.

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	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness exertional	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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