55U-28219-01583

5 vaccinations 11 coded responses 46 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 301 / GA
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Headach is more a pressure headache at base of skull

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pruritus — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Free text: Body itching. Light headiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Pfizer-BioNTech
2021-12-07
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck stiffness

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Sneezing and runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Headache, Respiratory tract congestion, Secretion discharge — Feeling: Fair

Free text: Congestion, mucus, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — day 35, dose 3
MedDRA: Influenza like illness — Feeling: Good · Be unable to do your normal daily activities

Free text: Flu like symptoms for a week

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-09
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Lethargy, Palpitations — Feeling: Good

Free text: Lethargy, breathlessness and racing heart

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Dose 4 — Pfizer-BioNTech
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Dizziness postural, Dyspnoea, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Total exhaustion and upon standing for a short amount of time, dizziness and breathlessness

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 14, dose 4
MedDRA: Apathy, Dizziness postural, Dyspnoea, Fatigue, Mobility decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exhaustion...can't seem to get out of bed or motivated. Upon standing for short periods, I become breathless and dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-06-21
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-07-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-09
Dose 5 — Pfizer-BioNTech
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-03-13
Survey response — 6 months, dose 5
MedDRA: Arthritis, Dizziness, Dyspnoea, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No
4	2022-05-24	Pfizer-BioNTech	No
5	2022-09-09	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Headach is more a pressure headache at base of skull

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Heartburn

2021-05-16

Systemic reaction (other): Body itching. Light headiness

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Neck stiffness

2021-12-11

Systemic reaction (other): Sneezing and runny nose

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Congestion, mucus, headache

Release 10 — day 35, dose 3

2022-01-11

Symptoms: Flu like symptoms for a week

Release 11 — 3 months, dose 3

2022-03-09

Symptoms: Lethargy, breathlessness and racing heart

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Total exhaustion and upon standing for a short amount of time, dizziness and breathlessness

Release 11 — day 14, dose 4

2022-06-07

Symptoms: Exhaustion...can't seem to get out of bed or motivated. Upon standing for short periods, I become breathless and dizzy

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	Apathy	·	·	✓
SD	Arthritis	·	·	✓
SD	Dizziness	·	·	✓
SD	Dizziness postural	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lethargy	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓

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