5L5-26678-09171

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 229 / VA
Registered: 2021-01-17

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test, Sinusitis — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have a sinus infection so these symptoms are related to that, not the injection · Healthcare visit (other): I got a Covid test at uva Covid clinic. After the results I will go to my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I think this is due to a sinus infection or upper respiratory infection that I was starting to get the day before injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — day 7, dose 1
MedDRA: Bronchitis, Sinusitis — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am being treated for sinus/bronchitis so my symptoms are unrelated to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Muscle or body aches

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Coughing a lot but I think it is unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad cough most likely unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-07
Survey response — 12 months, dose 2
MedDRA: COVID-19, Headache, Insomnia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid and have had residual headache and sleeplessness ever since-December 23rd

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): I have a sinus infection so these symptoms are related to that, not the injection

Healthcare visit (other): I got a Covid test at uva Covid clinic. After the results I will go to my PCP

2021-01-20

Systemic reaction (other): I think this is due to a sinus infection or upper respiratory infection that I was starting to get the day before injection

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I am being treated for sinus/bronchitis so my symptoms are unrelated to vaccination

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Coughing a lot but I think it is unrelated

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Bad cough most likely unrelated to vaccine

Release 11 — 12 months, dose 2

2022-02-07

Symptoms: Had Covid and have had residual headache and sleeplessness ever since-December 23rd

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
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SRO	Bronchitis	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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