69K-31756-97512

4 vaccinations 6 coded responses 40 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 100 / NY
Registered: 2021-02-23

Relationship: Self
Race: Asian
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

2021-02-18
Dose 1 — Pfizer-BioNTech
2021-02-23
Registered in v-safe
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Light headed and little dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Eye discharge, Eye pain, Eyelid margin crusting — Feeling: Good

Free text: My right eye was painful and start producing some yellow puss and next morning I could not open my eye until I took hot shower to wash all the puss away. That never happen to me before .I am fine now

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-10-16
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Nail discolouration, Respiratory tract congestion, Sneezing — Feeling: Fair

Free text: Cough sneeze congestion fatigue for a while. But I am fine now.My toe nail color has been change to purple now.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-02
Survey response — 6 months, dose 3
MedDRA: Cough, Fatigue, Sneezing — Feeling: Good

Free text: Fatigue for a while and cough and sneeze for a week

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Survey response — 3 months, dose 4
MedDRA: Cough, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever for few days and coughing for a while

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Light headed and little dizzy

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: My right eye was painful and start producing some yellow puss and next morning I could not open my eye until I took hot shower to wash all the puss away. That never happen to me before .I am fine now

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Very tired

Release 10 — 3 months, dose 3

2022-01-01

Symptoms: Cough sneeze congestion fatigue for a while. But I am fine now.My toe nail color has been change to purple now.

Release 11 — 6 months, dose 3

2022-04-02

Symptoms: Fatigue for a while and cough and sneeze for a week

Release 12 — 3 months, dose 4

2022-06-29

Symptoms: Fever for few days and coughing for a while

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	Cough	·	·	✓
SD	Eye discharge	·	·	✓
SD	Eye pain	·	·	✓
SD	Eyelid margin crusting	·	·	✓
SD	Fatigue	·	·	✓
SD	Nail discolouration	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Dizziness	✓	✓	✓

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