5Z7-10912-78946

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 922 / CA
Registered: 2021-02-16

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Redness, Itching · Fever · Fatigue or tiredness

Free text: Felt feverish this morning but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair

Free text: Shortness of breath. I have asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Nausea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Skin burning sensation — Feeling: Good

Free text: Scalp burning/tingling off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Ear infection, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Survey response — day 21, dose 2
MedDRA: Ear infection, Pharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Throat and ear infections

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Eye irritation, Ocular hyperaemia — Feeling: Good

Free text: Eyes red and burning, bloodshot especially outside corner or eyes

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Dose 3 — Pfizer-BioNTech
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Eyes bloodshot, left more than right

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Ocular hyperaemia — Feeling: Good · Site: Redness · Fever · Headache, Fatigue or tiredness

Free text: Bloodshot eyes- better than yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Callback requested for
01:00PM ET
2022-01-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — day 28, dose 3
MedDRA: COVID-19, Headache, Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Covid positive. Nasal congestion, runny nose, headache.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — day 35, dose 3
MedDRA: COVID-19, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Possible pneumonia after COVID-19 infection

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Office visit, Respiratory tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Respiratory infection · Healthcare visit (other): Primary physician

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-03
Call 1 — Requested Callback
2023-01-09
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-12-28	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Felt feverish this morning but no fever

Release 4 — day 14, dose 1

2021-02-25

Symptoms: Shortness of breath. I have asthma

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Scalp burning/tingling off and on

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Ear infection and sore throat

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Throat and ear infections

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Eyes red and burning, bloodshot especially outside corner or eyes

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): Eyes bloodshot, left more than right

2021-12-30

Systemic reaction (other): Bloodshot eyes- better than yesterday

Release 11 — day 28, dose 3

2022-01-25

Symptoms: Covid positive. Nasal congestion, runny nose, headache.

Release 11 — day 35, dose 3

2022-02-01

Symptoms: Possible pneumonia after COVID-19 infection

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: Respiratory infection

Healthcare visit (other): Primary physician

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	Office visit	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract infection	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	○	○	○
SRO	Skin burning sensation	✓	✓	✓

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