659-60164-41454

4 vaccinations 7 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 030 / NH
Registered: 2021-03-01

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-03-01
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Upper-airway cough syndrome — Feeling: Good

Free text: Mild post nasal drip with occasional cough. Maybe not shot now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Tooth extraction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had 3 teeth extracted today. Reactions to this - what you are probably looking for

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: After dental surgery and diet change, resulting innausea and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Dental discomfort, Ear pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: More dental issues And ear ache · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Not Covid but re- occurrence of simplex infection in 1 eye.Took anti-viral pills and topical steroid drops

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-08-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Hospitalisation, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Not Covid but major surgery that put me in hospital for couple days. So relieved that I have had 3 shots. Thanks

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-02-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-25
Dose 3 — Pfizer-BioNTech
2022-03-26
Dose 4 — Pfizer-BioNTech
2022-04-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2022-03-25	Pfizer-BioNTech	No
4	2022-03-26	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Cough

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Mild post nasal drip with occasional cough. Maybe not shot now

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Had 3 teeth extracted today. Reactions to this - what you are probably looking for

Release 6 — day 28, dose 2

2021-03-25

Symptoms: After dental surgery and diet change, resulting innausea and pain

Release 7 — day 42, dose 2

2021-04-08

Symptoms: More dental issues And ear ache

Healthcare visit (other): Office visit

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Not Covid but re- occurrence of simplex infection in 1 eye.Took anti-viral pills and topical steroid drops

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Not Covid but major surgery that put me in hospital for couple days. So relieved that I have had 3 shots. Thanks

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	Dental discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Herpes simplex	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Surgery	·	·	✓
SD	Tooth extraction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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