6CR-62520-15932

5 vaccinations 8 coded responses 54 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 949 / CA
Registered: 2021-01-17

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

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Vision blurred — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Difficulty focusing/concentrating. Hard to do my job today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Ear discomfort, Fatigue, Oropharyngeal pain — Feeling: Good

Free text: Tiredness, sore throat on right side and right ear bothering me Tuesday through Thursday this week. Today is better- sore throat is less noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Pfizer-BioNTech
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea

Free text: Mild lightheadedness for a few days

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-23
Dose 4 — Pfizer-BioNTech
2022-06-23
Survey response — day 0, dose 4
MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Free text: Was covid positive from 6/5/22 to 6/16/22. First negative test 6/17/22

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: Light headed

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Injection site warmth, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: The injection site feels warm, I've felt warm most of the day and my head feels light headed and feel like i want to sleep

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-06-27
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Light headed and dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-30
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea

Adult check-in
2022-07-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-23
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-09-30
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Survey response — 3 months, dose 5
MedDRA: Fatigue, Headache, Nasal congestion, Respiratory tract congestion — Feeling: Good

Free text: Stuffy nose., congestion, headachy, tired/fatigued.

MedDRA releases: 2024-11 · check-in free text available
2023-03-16
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-11-03	Pfizer-BioNTech	No
4	2022-06-23	Pfizer-BioNTech	No
5	2022-09-15	Pfizer-BioNTech	Flu

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Difficulty focusing/concentrating. Hard to do my job today.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Tiredness, sore throat on right side and right ear bothering me Tuesday through Thursday this week. Today is better- sore throat is less noticeable.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Mild lightheadedness for a few days

Release 12 — day 0, dose 4

2022-06-23

Systemic reaction (other): Was covid positive from 6/5/22 to 6/16/22. First negative test 6/17/22

Release 12 — days 1–6 daily, dose 4

2022-06-24

Systemic reaction (other): Light headed

2022-06-25

Systemic reaction (other): The injection site feels warm, I've felt warm most of the day and my head feels light headed and feel like i want to sleep

2022-06-27

Systemic reaction (other): Light headed and dizziness

Release 12 — 3 months, dose 5

2022-12-15

Symptoms: Stuffy nose., congestion, headachy, tired/fatigued.

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	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Vision blurred	✓	✓	✓

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