6BJ-63421-28043

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 584 / ND
Registered: 2021-04-01

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

2021-03-29
Dose 1 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Mild brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Faeces soft, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have soft stools but not to diarrhea. It's hard to gauge this as hay fever has always been a problem and with the time of year and high winds alot of these could also be for that. The first couple days after the shot were the worst and I wasn't reporting yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Liver disorder, Pre-existing disease, Seasonal allergy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Its hard to judge because of other issues such as hayfever and chronic liver disease but I do feel better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Bottoms of my feet felt on fire all night. Usually they are just knunb or pin prickles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Peripheral coldness — Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache isn't gone but much better today. Feet are cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair

Free text: Shortness of breath sometimes occurs when i go outside but this could be due to the smoke in the air along with my hayfever problems.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Mild brain fog

2021-04-03

Systemic reaction (other): I have soft stools but not to diarrhea. It's hard to gauge this as hay fever has always been a problem and with the time of year and high winds alot of these could also be for that. The first couple days after the shot were the worst and I wasn't reporting yet.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Its hard to judge because of other issues such as hayfever and chronic liver disease but I do feel better.

2021-04-24

Systemic reaction (other): Bottoms of my feet felt on fire all night. Usually they are just knunb or pin prickles.

2021-04-25

Systemic reaction (other): Headache isn't gone but much better today. Feet are cold

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Shortness of breath sometimes occurs when i go outside but this could be due to the smoke in the air along with my hayfever problems.

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	Dyspnoea	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Faeces soft	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Liver disorder	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓

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