5CG-23907-42883

4 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 606 / IL
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Survey response — day 0, dose 1
MedDRA: Sneezing — Feeling: Fair · Site: Pain, Swelling

Free text: Sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: I don't know if my pain's related to the vaccine. It's a preexisting condition.

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: Good · Joint pains

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Swelling, Itching

Free text: The itch is annoying!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Itching · Joint pains · Be unable to do your normal daily activities

Free text: Joint pain is subsiding.

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: Itching · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching · Joint pains

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Pain in my head, right side but I don't know if related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Headache — Feeling: Good

Free text: I've been having a pain on the right side of my head. I don't know if it's related but it's started shortly after the 2nd vaccination.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Dose 3 — Pfizer-BioNTech
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Fatigue, Hypertension — Feeling: Poor

Free text: I don't know if related to the vaccines ir work related from working in the clinic. My blood pressure is high and that's never been a problem for me. Chronic fatigue, daily.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-07-28
Survey response — 3 months, dose 4
MedDRA: Menstruation irregular — Feeling: Fair

Free text: I recd 2nd booster 4/28/22 and saw my menstral w/in a month, 5 to 6 days. LMP prior to, was 7/27/2013 on a Saturday. I remember it clearly bc it was our family reunion and that bummed because it was gone for 2 years!

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had COVID 10/4/22.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Sneezing

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): I don't know if my pain's related to the vaccine. It's a preexisting condition.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): The itch is annoying!

2021-02-17

Systemic reaction (other): Joint pain is subsiding.

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): No

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Pain in my head, right side but I don't know if related to vaccine.

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: I've been having a pain on the right side of my head. I don't know if it's related but it's started shortly after the 2nd vaccination.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: I don't know if related to the vaccines ir work related from working in the clinic. My blood pressure is high and that's never been a problem for me. Chronic fatigue, daily.

Release 12 — 3 months, dose 4

2022-07-28

Symptoms: I recd 2nd booster 4/28/22 and saw my menstral w/in a month, 5 to 6 days. LMP prior to, was 7/27/2013 on a Saturday. I remember it clearly bc it was our family reunion and that bummed because it was gone for 2 years!

Release 12 — 6 months, dose 4

2022-10-27

Symptoms: I had COVID 10/4/22.

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	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Menstruation irregular	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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