68R-22686-80028

3 vaccinations 5 coded responses 35 check-ins 5 free-text entries 1 call case

Sex: —
Age at first dose: 46-50
ZIP prefix: 191 / PA
Registered: 2020-12-20

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

Registered dependents

R92-22342-04832 Child or adolescent in my care · Female · 2021-08-08

CR5-26186-46555 Child or adolescent in my care · Female · 2021-08-08

Timeline

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

2020-12-20
Registered in v-safe
2020-12-20
Dose 1 — Pfizer-BioNTech
2020-12-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-10
Dose 2 — Pfizer-BioNTech
2021-01-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good

Free text: Yesterday evening felt someLeft upper chest pulsation that were relatively strong. Sharp. Mild. Lasted 30-45 min

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-31
Survey response — day 21, dose 2
MedDRA: Tenderness — Feeling: Good

Free text: Unsure if related, but since second vaccine have had point tenderness in neck which is felt while swallowing. Never had this in the past. It is there daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 28, dose 2
MedDRA: Gastrooesophageal reflux disease, Odynophagia — Feeling: Good

Free text: A lot of reflux and still with unilateral discomfort with swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 35, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: Reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chills, Headache — Feeling: Good · Site: Pain

Free text: The day after the inoculation I felt joint pain (knees transient for about 30min, headache and some mild chills)

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-20	Pfizer-BioNTech
2	2021-01-10	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Yesterday evening felt someLeft upper chest pulsation that were relatively strong. Sharp. Mild. Lasted 30-45 min

Release 3 — day 21, dose 2

2021-01-31

Symptoms: Unsure if related, but since second vaccine have had point tenderness in neck which is felt while swallowing. Never had this in the past. It is there daily.

Release 3 — day 28, dose 2

2021-02-07

Symptoms: A lot of reflux and still with unilateral discomfort with swallowing

Release 4 — day 35, dose 2

2021-02-14

Symptoms: Reflux

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): The day after the inoculation I felt joint pain (knees transient for about 30min, headache and some mild chills)

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	Gastrooesophageal reflux disease	✓	✓	✓
SD	Odynophagia	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Headache	·	·	✓

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