69J-18228-17703

3 vaccinations 7 coded responses 40 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 607 / IL
Registered: 2021-04-07

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Injection site just a little sore, didnt feel anything the first time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Shot site hurt yesterday but is better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Pfizer-BioNTech
2021-11-02
Survey response — day 0, dose 3
MedDRA: Nausea — Feeling: Fair · Headache, Diarrhea

Free text: Just a little sick to my stomach. This happened with the first shot but I didn't make the association.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Self-medication — Feeling: Good

Free text: I took an Aleve yesterday and feel much better today!

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Feeling much better.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: Pruritus — Feeling: Good

Free text: I've developed itching which gets intolerable at night. I will speak to my doctor about it when I see her in March,

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-11-02	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): No

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Injection site just a little sore, didnt feel anything the first time.

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Shot site hurt yesterday but is better today.

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): Just a little sick to my stomach. This happened with the first shot but I didn't make the association.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): I took an Aleve yesterday and feel much better today!

2021-11-05

Systemic reaction (other): Feeling much better.

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: I've developed itching which gets intolerable at night. I will speak to my doctor about it when I see her in March,

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	Pruritus	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	·	·	✓

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