6RK-16706-78107

3 vaccinations 9 coded responses 33 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 852 / AZ
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain, Swelling

Free text: Blood pressure us elevated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain

Free text: Blood pressure still is up a bit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Photophobia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: bright light bothers my eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad allergies this year. The worst ever for me. · Healthcare visit (other): Doctor's office visit and eye doctor too

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-27
Dose 3 — Pfizer-BioNTech
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Painful respiration — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Hurts a bit to take a deep breathe

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-18
Survey response — day 21, dose 3
MedDRA: Fatigue, Office visit, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still tired and now a bit of vertigo. · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Call 1 — Left Voicemail
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-26
Survey response — 3 months, dose 3
MedDRA: Eye discharge, Hypersensitivity, Pre-existing disease, Respiratory tract congestion, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My allergies are worse. More congestion at night. A bit of a weeze and eyes are sticky.

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-28
Call 1 — Left Voicemail
2022-05-28
Survey response — 6 months, dose 3
MedDRA: Respiratory tract congestion, Wheezing — Feeling: Good

Free text: Congestion in the mornings and a bit of a wheeze. It goes away after being active.

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Survey response — 12 months, dose 3
MedDRA: Sinus congestion, Upper respiratory tract congestion — Feeling: Good

Free text: Some sinus and upper chest congestion

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-11-27	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Blood pressure us elevated

2021-03-13

Systemic reaction (other): Blood pressure still is up a bit

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): bright light bothers my eyes

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Bad allergies this year. The worst ever for me.

Healthcare visit (other): Doctor's office visit and eye doctor too

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Hurts a bit to take a deep breathe

Release 10 — day 21, dose 3

2021-12-18

Symptoms: Still tired and now a bit of vertigo.

Healthcare visit (other): Family doctor

Release 11 — 3 months, dose 3

2022-02-26

Symptoms: My allergies are worse. More congestion at night. A bit of a weeze and eyes are sticky.

Release 11 — 6 months, dose 3

2022-05-28

Symptoms: Congestion in the mornings and a bit of a wheeze. It goes away after being active.

Release 12 — 12 months, dose 3

2022-11-27

Symptoms: Some sinus and upper chest congestion

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	Eye discharge	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Vertigo	·	·	✓
SD	Wheezing	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Painful respiration	·	·	✓
SRO	Photophobia	✓	✓	✓

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