6LY-15447-78334

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 198 / DE
Registered: 2021-01-24

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Pfizer-BioNTech
2021-01-24
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral, Stomatitis — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Lips tingling, feeling raw in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache

Free text: Cant tell doing colonoscopy prep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-31
Survey response — day 7, dose 1
MedDRA: Dysphonia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Horse throat, in morning not sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Chills, Cough, Headache — Feeling: Fair

Free text: Dry Cough, headache, stomach ache, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Survey response — day 28, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Shakes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-08
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Major Headaches, stomach aches, dizziness, Im retired so the work questions dont apply, but I stayed in bed most of the day with headaches no Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 21, dose 2
MedDRA: Feeling cold, Hot flush, Pain, Pain in extremity — Feeling: Good

Free text: Injection Arm pain upon moving in certain directions.Hot/cold flashes not related to aging,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-22
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech

Free text

Release 2 — day 0, dose 1

2021-01-24

Systemic reaction (other): Lips tingling, feeling raw in mouth

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Tiredness

2021-01-26

Systemic reaction (other): Cant tell doing colonoscopy prep

2021-01-27

Systemic reaction (other): Sweats

Release 3 — day 7, dose 1

2021-01-31

Systemic reaction (other): Horse throat, in morning not sore

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Dry Cough, headache, stomach ache, chills

Release 4 — day 28, dose 1

2021-02-21

Symptoms: Headaches

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Shakes

2021-02-28

Systemic reaction (other): Cough

Release 5 — day 14, dose 2

2021-03-08

Symptoms: Major Headaches, stomach aches, dizziness, Im retired so the work questions dont apply, but I stayed in bed most of the day with headaches no Dr.

Release 5 — day 21, dose 2

2021-03-15

Symptoms: Injection Arm pain upon moving in certain directions.Hot/cold flashes not related to aging,

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	Abdominal pain upper	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Tremor	✓	✓	✓

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