68W-20020-00345

4 vaccinations 11 coded responses 45 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 571 / SD
Registered: 2020-12-22

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

Registered dependents

YTR-20122-32105 Child or adolescent in my care · Male · 2022-06-30

K28-23156-07628 Child or adolescent in my care · Male · 2022-06-30

Timeline

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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-22
Registered in v-safe
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Headache, Pain — Feeling: Good · Site: Pain

Free text: The day after my injection, i experienced chills, headache, body aches, and fatigue. They resolved after 36 hours, but were quite severe from hours 24-36 after injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2020-12-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-01-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — 3 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy (currently 10 weeks 6 days)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Pregnancy registry survey
Pregnant after vaccination · Yes, I would like someone to contact me
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: I am 36 weeks pregnant

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Symphysiolysis — Feeling: Good · Site: Pain · Joint pains

Free text: I have pubic symphysis dysfunction of pregnancy, so I think the joint pain is related to that diagnosis, not the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Fatigue or tiredness

Free text: My 3 year old son tested positive for Covid 19 yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Survey response — day 21, dose 3
MedDRA: Cough, Ear pain, Fatigue, Influenza A virus test negative, Influenza B virus test, Nasopharyngitis, Oropharyngeal pain, Pain, Pregnancy, Respiratory tract congestion, SARS-CoV-2 test negative — 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

Free text: Had a severe cold x1 week: congestion, fatigue, body aches, cough, ear and throat pain. Tested negative for Covid x2, also negative for influenza A and B and Strep. I am 39 weeks 1 day pregnant today, had borderline amniotic fluid levels (AFI 8.68)

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-10-26
Survey response — day 28, dose 3
MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Spontaneous vaginal delivery of a healthy term infant on 10/24.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Bronchitis — Feeling: Fair

Free text: Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Dose 4 — Pfizer-BioNTech
2022-11-15
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-14
Survey response — day 28, dose 4
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Cold virus

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-29
Survey response — day 42, dose 4
MedDRA: Chills, Cough, Decreased appetite, Fatigue, Headache, Influenza, Myalgia, Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, sore throat, chills, fever, muscle aches, headache, fatigue, no appetite, nausea. Tested negative for Covid (believe it is likely influenza)

MedDRA releases: 2024-11 · check-in free text available
2023-02-14
Survey response — 3 months, dose 4
MedDRA: Influenza, Pharyngitis streptococcal, Respiratory disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-14
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-15
Call 1 — Left Voicemail
2023-05-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-11-15	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): The day after my injection, i experienced chills, headache, body aches, and fatigue. They resolved after 36 hours, but were quite severe from hours 24-36 after injection.

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: Pregnancy (currently 10 weeks 6 days)

Release 9 — day 0, dose 3

2021-09-28

Systemic reaction (other): I am 36 weeks pregnant

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): I have pubic symphysis dysfunction of pregnancy, so I think the joint pain is related to that diagnosis, not the vaccine.

2021-10-04

Systemic reaction (other): My 3 year old son tested positive for Covid 19 yesterday.

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Had a severe cold x1 week: congestion, fatigue, body aches, cough, ear and throat pain. Tested negative for Covid x2, also negative for influenza A and B and Strep. I am 39 weeks 1 day pregnant today, had borderline amniotic fluid levels (AFI 8.68) cut off by CDC

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Spontaneous vaginal delivery of a healthy term infant on 10/24.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Bronchitis

Release 12 — day 28, dose 4

2022-12-14

Symptoms: Cold virus

Release 12 — day 42, dose 4

2022-12-29

Symptoms: Cough, sore throat, chills, fever, muscle aches, headache, fatigue, no appetite, nausea. Tested negative for Covid (believe it is likely influenza)

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	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Delivery	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Influenza A virus test negative	·	·	✓
SD	Influenza B virus test	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Symphysiolysis	·	·	✓

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