4Y2-24278-59154

3 vaccinations 12 coded responses 25 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: A dry cough that happens only at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing & stuffed nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Blister, Cough, Injection site vesicles — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing. Have small blistering further down from shot area on shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Blister — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still have blister on shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Blister — Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities

Free text: Still have blister on shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Blister — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Still have blister on shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site vesicles — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blister on shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Blister, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities

Free text: Blister & extreme pain in shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 35, dose 2
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad headache, runny nose, coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Coughing late in day through the night & nasal congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: cough, runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-05
Dose 3 — Pfizer-BioNTech
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-10
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Asthenia, Chills, Headache, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: right after booster I had fever, chills & was very weak with joint pain & headache. Lasted about 2.5 - 3 days before feeling better

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: A dry cough that happens only at night

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Coughing & stuffed nose

2021-02-21

Systemic reaction (other): Coughing. Have small blistering further down from shot area on shot arm

2021-02-22

Systemic reaction (other): Still have blister on shot arm

2021-02-23

Systemic reaction (other): Still have blister on shot arm

2021-02-24

Systemic reaction (other): Still have blister on shot arm

2021-02-25

Systemic reaction (other): Blister on shot arm

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Blister & extreme pain in shot arm

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Bad headache, runny nose, coughing

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Coughing late in day through the night & nasal congestion.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: cough, runny nose

Release 12 — 12 months, dose 3

2022-10-10

Symptoms: right after booster I had fever, chills & was very weak with joint pain & headache. Lasted about 2.5 - 3 days before feeling better

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	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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