6VU-10409-96073

3 vaccinations 18 coded responses 41 check-ins 18 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 786 / TX
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Swelling face — Feeling: Fair · Site: Swelling, Itching

Free text: Itching on back of legs, on arms, etc.; Swelling on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itching all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good · Headache

Free text: General itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 14, dose 1
MedDRA: Pruritus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: All over, uncontrollable itching - especially back of thighs · Healthcare visit (other): Will be contacting my GP on Monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 21, dose 1
MedDRA: Nausea — Feeling: Fair

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: All over body itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mental confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mental confusion and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Depression — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Anxiety/depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Abdominal pain and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Pain in extremity, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and tenderness in arm where shot was given

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Dose 3 — Pfizer-BioNTech
2021-11-16
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site warmth, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever

Free text: Injection site hot to touch; feverish

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Backache

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — day 21, dose 3
MedDRA: Injection site pain — Feeling: Fair

Free text: Soreness at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 28, dose 3
MedDRA: Injection site discomfort — Feeling: Good

Free text: Occasional discomfort at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-21
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — day 42, dose 3
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Seasonal allergies

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Survey response — 6 months, dose 3
MedDRA: Cellulitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Cellulitis on legs

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-11-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-11-16	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Itching on back of legs, on arms, etc.; Swelling on face

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Itching all over body

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): General itching

Release 5 — day 14, dose 1

2021-03-13

Symptoms: All over, uncontrollable itching - especially back of thighs

Healthcare visit (other): Will be contacting my GP on Monday

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Nausea

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): All over body itching

2021-03-28

Systemic reaction (other): Mental confusion

2021-03-29

Systemic reaction (other): Mental confusion and dizziness

2021-03-30

Systemic reaction (other): Anxiety/depression

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Abdominal pain and nausea

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Pain and tenderness in arm where shot was given

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Injection site hot to touch; feverish

2021-11-21

Systemic reaction (other): Backache

Release 10 — day 21, dose 3

2021-12-07

Symptoms: Soreness at injection site

Release 10 — day 28, dose 3

2021-12-14

Symptoms: Occasional discomfort at injection site

Release 10 — day 35, dose 3

2021-12-21

Symptoms: Headache

Release 10 — day 42, dose 3

2021-12-28

Symptoms: Seasonal allergies

Release 11 — 6 months, dose 3

2022-05-17

Symptoms: Cellulitis on legs

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Cellulitis	·	·	✓
SD	Headache	·	·	✓
SD	Injection site discomfort	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Tenderness	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Swelling face	✓	✓	✓

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