6DR-17288-06955

3 vaccinations 9 coded responses 32 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 782 / TX
Registered: 2021-08-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

GWH-36821-18444 Child or adolescent in my care · Female · 2021-12-05

Timeline

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

2021-08-05
Registered in v-safe
2021-08-05
Dose 1 — Pfizer-BioNTech
2021-08-05
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-08-12
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-19
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Possible ear infection symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 21, dose 1
MedDRA: Discomfort, Ear discomfort, Headache, Paranasal sinus discomfort — Feeling: Fair

Free text: My right ear feels clogged and I have a constant headache on my right temple. I can feel the vein pulsating. A lot of sinus pressure from the front of my face to my ear to my neck. All on the right side

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Dose 2 — Pfizer-BioNTech
2021-08-27
Survey response — day 0, dose 2
MedDRA: Ear discomfort — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Pressure in my ear, possibly sinus related

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea, Abdominal pain

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Nausea, Diarrhea

Adult check-in
2021-08-31
Survey response — days 1–6 daily, dose 2
MedDRA: Photopsia — Feeling: Good · Chills, Fatigue or tiredness

Free text: Briefly saw flashes of light, for about 10 seconds total

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-03
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-10
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Pruritus — Feeling: Fair

Free text: Shortness of breath, had to use my inhaler today. No rash but theres an intense itchy area on my upper back near my neck

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 21, dose 2
MedDRA: Ear pain, Head discomfort, Headache, Pain in jaw — Feeling: Fair

Free text: Headaches, weird feeling on the right side Of my head near my temple. Pain in my ear and jaw

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Dyspepsia, Gastrointestinal disorder, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach issues. Intense heartburn, nausea, very bloated. Constant burning sensation in my stomach

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-01
Dose 3 — Pfizer-BioNTech
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Nausea

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-02-08
Survey response — day 7, dose 3
MedDRA: Tenderness — Feeling: Fair · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tender to touch on my calves

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-03
Survey response — 12 months, dose 3
MedDRA: Dyspnoea, Office visit, Secretion discharge, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-03
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-05	Pfizer-BioNTech	No
2	2021-08-27	Pfizer-BioNTech	No
3	2022-02-01	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-08-19

Symptoms: Possible ear infection symptoms

Release 9 — day 21, dose 1

2021-08-26

Symptoms: My right ear feels clogged and I have a constant headache on my right temple. I can feel the vein pulsating. A lot of sinus pressure from the front of my face to my ear to my neck. All on the right side

Release 9 — day 0, dose 2

2021-08-27

Systemic reaction (other): Pressure in my ear, possibly sinus related

Release 9 — days 1–6 daily, dose 2

2021-08-31

Systemic reaction (other): Briefly saw flashes of light, for about 10 seconds total

Release 9 — day 14, dose 2

2021-09-10

Symptoms: Shortness of breath, had to use my inhaler today. No rash but theres an intense itchy area on my upper back near my neck

Release 9 — day 21, dose 2

2021-09-17

Symptoms: Headaches, weird feeling on the right side Of my head near my temple. Pain in my ear and jaw

Release 9 — day 28, dose 2

2021-09-24

Symptoms: Stomach issues. Intense heartburn, nausea, very bloated. Constant burning sensation in my stomach

Release 11 — day 7, dose 3

2022-02-08

Systemic reaction (other): Tender to touch on my calves

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
HCVO	Office visit	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Discomfort	✓	·	✓
SD	Dyspepsia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	✓	·	✓
SD	Ear pain	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	·	✓
SD	Nausea	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Paranasal sinus discomfort	✓	·	✓
SD	Pruritus	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Wheezing	·	·	✓
SRO	Ear discomfort	✓	·	✓
SRO	Photopsia	✓	·	✓
SRO	Tenderness	·	·	✓

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