5ZL-26351-36961

3 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 217 / MD
Registered: 2021-03-17

Relationship: Self
Race: Asian
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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Chills, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Analgesic drug level, Self-medication — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I did take Tylenol after getting the shot on the 17th

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Took Tylenol yesterday night around 10:00pm before going to bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pain, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Yesterday night feverish, body aches, chills took Tylenol after reaching 100.8 at 8:30pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Chest pain, Chills, Self-medication — Feeling: Good

Free text: Forgot to mention the chest pain and chills that I experienced on Apr. 27th 10:00pmI wasnt sure why but it was an unusual event. Took Tylenol and was able to sleep I wanted to make note of the incident FYI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain on the left chest ( got shot on left arm)

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain left under armpit ( injection administered on the left side arm)

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Somnolence — Feeling: Good

Free text: Fatigue, drowsiness

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-03-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): I did take Tylenol after getting the shot on the 17th

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Took Tylenol yesterday night around 10:00pm before going to bed

2021-04-09

Systemic reaction (other): Yesterday night feverish, body aches, chills took Tylenol after reaching 100.8 at 8:30pm

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Forgot to mention the chest pain and chills that I experienced on Apr. 27th 10:00pmI wasnt sure why but it was an unusual event. Took Tylenol and was able to sleep I wanted to make note of the incident FYI

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Pain on the left chest ( got shot on left arm)

2021-12-06

Systemic reaction (other): Pain left under armpit ( injection administered on the left side arm)

2021-12-08

Systemic reaction (other): Fatigue, drowsiness

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	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Analgesic drug level	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	·	·	✓

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