6FN-62919-18214

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 891 / NV
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Fever · Muscle or body aches

Free text: Chest pain when I breathe deep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Upper Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain, Dyspnoea — Feeling: Poor · Fever · Headache, Muscle or body aches

Free text: Chest and back pain... hard to breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Mildly tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Chest pain — Feeling: Fair

Free text: I improved and had no symptoms until about 2 days ago. Suddenly the chest pain returned. So today is worse than yesterday, but is not stopping me for my daily activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 28, dose 2
MedDRA: Back pain, Chest pain, Neck pain, Pulmonary pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper back pain, lung pain, chest and neck pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Back pain, Chest pain, Dyspnoea, Joint range of motion decreased, Pulmonary pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Every 2 weeks I have reoccurring lung, chest, upper back (lung area) pain.. limits my range of motion and ability to breath... it lasts 3-4 days and then goes away...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-17
Dose 3 — Janssen/Johnson & Johnson
2021-12-17
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Dizzy on and off

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Cough, Throat irritation — Feeling: Poor · Headache, Fatigue or tiredness

Free text: Cough with sternum pain and raw throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Tinnitus — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough, sore throat, tinnitus,

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat, ear pain,

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-12-17	Janssen/Johnson & Johnson	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Chest pain when I breathe deep

2021-04-16

Systemic reaction (other): Upper Back pain

2021-04-17

Systemic reaction (other): Chest and back pain... hard to breathe

2021-04-20

Systemic reaction (other): Mildly tired

Release 8 — day 14, dose 2

2021-04-28

Symptoms: I improved and had no symptoms until about 2 days ago. Suddenly the chest pain returned. So today is worse than yesterday, but is not stopping me for my daily activities.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Upper back pain, lung pain, chest and neck pain.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Every 2 weeks I have reoccurring lung, chest, upper back (lung area) pain.. limits my range of motion and ability to breath... it lasts 3-4 days and then goes away...

Release 10 — day 0, dose 3

2021-12-17

Systemic reaction (other): Dizzy on and off

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Runny nose

2021-12-21

Systemic reaction (other): Cough with sternum pain and raw throat

2021-12-22

Systemic reaction (other): Cough, sore throat, tinnitus,

2021-12-23

Systemic reaction (other): Sore throat, ear pain,

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	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Mobility decreased	○	○	○
SD	Neck pain	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Tinnitus	·	·	✓

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