63Z-15968-19485

3 vaccinations 5 coded responses 36 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 481 / MI
Registered: 2021-04-15

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-15
Registered in v-safe
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-04
Survey response — day 0, dose 2
MedDRA: Dry mouth, Thirst — Feeling: Good · Site: Pain

Free text: Dry mouth because Im thirstybut maybe that was anxiety over getting a shot?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Fatigue, Immediate post-injection reaction — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: I have Crohns so its hard to say with diarrhea. Also right after the injection of the vaccine yesterday I had a metallic bad taste in my mouth for about an hour. And last night after I checked into vaccines safe I got really really tired and went to bed very early!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Survey response — day 7, dose 2
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: I have Crohns disease so this is fairly typical however I was not experiencing these symptoms before my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-14
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-14
Survey response — day 0, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Good · Muscle or body aches

Free text: Lower back/hip pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, 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
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Survey response — 3 months, dose 3
MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

Free text: I tested positive for COVID-19 and developed symptoms of COVID -19

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech
3	2022-01-14	Pfizer-BioNTech	Flu

Free text

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Dry mouth because Im thirstybut maybe that was anxiety over getting a shot?

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): I have Crohns so its hard to say with diarrhea. Also right after the injection of the vaccine yesterday I had a metallic bad taste in my mouth for about an hour. And last night after I checked into vaccines safe I got really really tired and went to bed very early!

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): I have Crohns disease so this is fairly typical however I was not experiencing these symptoms before my vaccine

Release 10 — day 0, dose 3

2022-01-14

Systemic reaction (other): Lower back/hip pain

Release 11 — 3 months, dose 3

2022-04-15

Symptoms: I tested positive for COVID-19 and developed symptoms of COVID -19

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	Malaise	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Crohn's disease	✓	✓	○
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thirst	✓	✓	✓

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