4XH-21988-66642

4 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-02-10

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

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-10
Registered in v-safe
2021-02-10
Survey response — day 14, dose 1
MedDRA: Chills, Headache, Pain, Pain in extremity, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I just had a bit of a sore arm and slight headache after first dose on 1/23/21. Side effects went away quickly. After my second dose on 2/9/21, I am experiencing chills, fever, headache, and body ache.

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

Free text: Early morning of 2/10/21, I had chills as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Nasopharyngitis, Office visit, Pyrexia, Tooth infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: 1. Cold and fever2. Hip pain3. Tooth infection · Healthcare visit (other): Internist, dentist, and periodontist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call 1 — Left Voicemail
2021-10-14
Dose 3 — Pfizer-BioNTech
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-04-21
Survey response — day 7, dose 4
MedDRA: Chills, Headache, Myalgia, Pain, Pyrexia, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activities

Free text: For the 10/14/2021 and 04/12/2022 doses I had high fever, muscle and body ache, headache. For the 10/14/2022 shot I had severe chills lasting over an hour

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-12
Survey response — 3 months, dose 4
MedDRA: Aphonia, Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · 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: Tested positive for COVID. Sore throat, cough, fever, no voice.

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — 3 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)
2022-07-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-11
Survey response — 6 months, dose 4
MedDRA: Headache, Oropharyngeal pain, Pyrexia — Feeling: Good

Free text: Sore throat, headache, low grade fever.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-10

Symptoms: I just had a bit of a sore arm and slight headache after first dose on 1/23/21. Side effects went away quickly. After my second dose on 2/9/21, I am experiencing chills, fever, headache, and body ache.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Early morning of 2/10/21, I had chills as well

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: 1. Cold and fever2. Hip pain3. Tooth infection

Healthcare visit (other): Internist, dentist, and periodontist

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): For the 10/14/2021 and 04/12/2022 doses I had high fever, muscle and body ache, headache. For the 10/14/2022 shot I had severe chills lasting over an hour

Release 12 — 3 months, dose 4

2022-07-12

Symptoms: Tested positive for COVID. Sore throat, cough, fever, no voice.

Release 12 — 6 months, dose 4

2022-10-11

Symptoms: Sore throat, headache, low grade fever.

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
HCVO	Office visit	✓	·	✓
SD	Aphonia	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tooth infection	✓	·	✓
SRO	Chills	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓

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