6TF-52050-92517

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 347 / FL
Registered: 2021-09-17

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

2021-09-16
Dose 1 — Pfizer-BioNTech
2021-09-17
Registered in v-safe
2021-09-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-09-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Right eye watering and a little red

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Right eye watering and red

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Right eye watery and red

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Survey response — day 7, dose 1
MedDRA: Lacrimation increased, Vision blurred — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Right eye watering and blurry

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-10-06
Dose 2 — Pfizer-BioNTech
2021-10-07
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dyspnoea, Pruritus, Throat irritation — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Itchy but no rash..extreme fog brain..can't breathe and throat a little scratchy

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Nasopharyngitis, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Feel like I have a head cold, scratchy throat and can't breathe

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Still feel like I have a head cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Rash — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Still feel like I have a head cold and woke up with a rash

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Still feel like I have a head cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Still feel like a head cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 7, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Still feel like I have a head cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Nausea, Pain, Swelling face, Vomiting — Feeling: Fair · Be unable to work or attend school

Free text: I have a bump above my left eye and I been extremely tired, major bodyaches and nauseas. Vomiting Sunday and today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-16	Pfizer-BioNTech	No
2	2021-10-06	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-20

Systemic reaction (other): Right eye watering and a little red

2021-09-21

Systemic reaction (other): Right eye watering and red

2021-09-22

Systemic reaction (other): Right eye watery and red

Release 9 — day 7, dose 1

2021-09-23

Systemic reaction (other): Right eye watering and blurry

Release 10 — days 1–6 daily, dose 2

2021-10-07

Systemic reaction (other): Itchy but no rash..extreme fog brain..can't breathe and throat a little scratchy

2021-10-08

Systemic reaction (other): Feel like I have a head cold, scratchy throat and can't breathe

2021-10-09

Systemic reaction (other): Still feel like I have a head cold

2021-10-10

Systemic reaction (other): Still feel like I have a head cold and woke up with a rash

2021-10-11

Systemic reaction (other): Still feel like I have a head cold

2021-10-12

Systemic reaction (other): Still feel like a head cold

Release 10 — day 7, dose 2

2021-10-13

Systemic reaction (other): Still feel like I have a head cold

Release 10 — day 14, dose 2

2021-10-20

Symptoms: I have a bump above my left eye and I been extremely tired, major bodyaches and nauseas. Vomiting Sunday and today.

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	Fatigue	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Swelling face	·	·	✓
SD	Vomiting	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Vision blurred	·	·	✓

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