6PE-11622-34303

4 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 802 / CO
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-23
Dose 1 — Pfizer-BioNTech
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Swollen lymph node under armpit where vaccine was given. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache

Free text: Swollen lymph node under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat and runny nose for two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Good · Site: Pain

Free text: Had fever of 100.5 starting the morning after the injection and lasting 24 hours

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Survey response — day 21, dose 3
MedDRA: Discomfort, Gastrointestinal viral infection, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting and general discomfort (suspected GI virus)

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever, cough and fatigue starting 12/25. Tested positive to Covid on 12/26

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-26
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid during omicron wave - Ed of December 2021

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 4 — Pfizer-BioNTech
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-25
Survey response — 12 months, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm following vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-09-23	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Swollen lymph node under armpit where vaccine was given. Dizziness.

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Swollen lymph node under arm

2021-01-16

Systemic reaction (other): Swollen lymph node under arm

Release 4 — day 42, dose 2

2021-02-23

Symptoms: Sore throat and runny nose for two days

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Had fever of 100.5 starting the morning after the injection and lasting 24 hours

Release 10 — day 21, dose 3

2021-10-16

Symptoms: Vomiting and general discomfort (suspected GI virus)

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Fever, cough and fatigue starting 12/25. Tested positive to Covid on 12/26

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Had Covid during omicron wave - Ed of December 2021

Release 12 — 12 months, dose 3

2022-09-25

Symptoms: Sore arm following vaccine

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Discomfort	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal viral infection	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pyrexia	·	·	✓

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