5EC-21561-41133

3 vaccinations 13 coded responses 23 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 951 / CA
Registered: 2021-03-24

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

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-24
Registered in v-safe
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain, Nasopharyngitis — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: On Monday, March 22nd, for a half-day, I feel like a mild cold, fatigue, and sleep. I got relief soon. I also had mild pain in the injection area for three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Heart sounds abnormal, Pulse abnormal — Feeling: Good

Free text: I had a mild headache for two days and felt tired. Some nights, I hear my heartbeat louder and faster

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Mild runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sore throat, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Fever

Free text: Mild coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good

Free text: eyesore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 28, dose 2
MedDRA: Axillary pain, Cough, Headache — Feeling: Good

Free text: Mild headache at the back of my head ( two times and took two days long). Frequent mild coughs. Mild left armpit pain( I took surgery near this area about three years ago)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 35, dose 2
MedDRA: Back pain, Cough — Feeling: Good

Free text: Often I cough a lot. Sometimes my heart and the left side of my back hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Back pain, Myalgia — Feeling: Good

Free text: My back muscle aces more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Lymph node pain, Nausea, Pyrexia — Feeling: Good

Free text: One, I have nausea with fever. Some time my lymph nodes become a little bit painful.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Chest pain, Cough, Dizziness — Feeling: Fair

Free text: Chest pain, cough, dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-15
Survey response — 6 months, dose 3
MedDRA: Fracture, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Blood Pressure, bone fracture

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Survey response — 12 months, dose 3
MedDRA: Chest discomfort, Chest pain, Lymph node pain — Feeling: Good

Free text: Pressure on the chest and pain around the unde's lymph

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-12-13	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): On Monday, March 22nd, for a half-day, I feel like a mild cold, fatigue, and sleep. I got relief soon. I also had mild pain in the injection area for three days.

Release 6 — day 14, dose 1

2021-04-03

Symptoms: I had a mild headache for two days and felt tired. Some nights, I hear my heartbeat louder and faster

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Mild runny nose

2021-04-21

Systemic reaction (other): sore throat, cough

2021-04-23

Systemic reaction (other): Mild coughing

2021-04-25

Systemic reaction (other): eyesore

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Mild headache at the back of my head ( two times and took two days long). Frequent mild coughs. Mild left armpit pain( I took surgery near this area about three years ago)

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Often I cough a lot. Sometimes my heart and the left side of my back hurt

Release 8 — day 42, dose 2

2021-05-31

Symptoms: My back muscle aces more

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: One, I have nausea with fever. Some time my lymph nodes become a little bit painful.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Chest pain, cough, dizziness

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: Blood Pressure, bone fracture

Release 12 — 12 months, dose 3

2022-12-13

Symptoms: Pressure on the chest and pain around the unde's lymph

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	Axillary pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	·	✓
SD	Fracture	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart sounds abnormal	○	✓	○
SD	Lymph node pain	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pulse abnormal	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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