5CT-19085-68643

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 940 / CA
Registered: 2021-03-15

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

2021-02-21
Dose 1 — Pfizer-BioNTech
2021-03-14
Dose 2 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dehydration (could be from other medications)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache — Feeling: Good

Free text: Headaches & light headedness. Maybe from dehydration because of other medications

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Survey response — day 14, dose 3
MedDRA: Headache, Throat irritation — Feeling: Good

Free text: Scratch my throat. Probably because I teach kindergarten, not because of the vaccine. Also headaches. Hard to say why.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Good

Free text: Sniffles, cough, some headache. Could easily be allergies or a cold. I teach kindergarten.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue. Probably not vaccine related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Anxiety, Depression — Feeling: Fair

Free text: Depression and anxiety.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Survey response — 6 months, dose 3
MedDRA: Cough, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: Sniffles and cough. Negative Covid tests. Very likely allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-14	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Dehydration (could be from other medications)

2021-03-17

Systemic reaction (other): Dizziness

2021-03-18

Systemic reaction (other): Dizziness

Release 6 — day 14, dose 2

2021-03-28

Symptoms: Headaches & light headedness. Maybe from dehydration because of other medications

Release 10 — day 14, dose 3

2021-10-14

Symptoms: Scratch my throat. Probably because I teach kindergarten, not because of the vaccine. Also headaches. Hard to say why.

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Sniffles, cough, some headache. Could easily be allergies or a cold. I teach kindergarten.

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Fatigue. Probably not vaccine related.

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Depression and anxiety.

Release 11 — 6 months, dose 3

2022-04-02

Symptoms: Sniffles and cough. Negative Covid tests. Very likely allergies.

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	Anxiety	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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