963-15787-93978

4 vaccinations 5 coded responses 43 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 208 / MD
Registered: 2020-12-16

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

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Took Tylenol for headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-10-17
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Survey response — 6 months, dose 3
MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with influenza A on 4/12/22. Feeling mostly better now.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30
Dose 4 — Pfizer-BioNTech
2022-10-01
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urge to keep stretching body

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · None

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

Adult check-in
2022-10-21
Survey response — day 21, dose 4
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: Acid reflux

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 35, dose 4
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Good

Free text: Productive cough, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No
4	2022-09-30	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-07

Systemic reaction (other): Took Tylenol for headache

Release 11 — 6 months, dose 3

2022-04-21

Symptoms: Diagnosed with influenza A on 4/12/22. Feeling mostly better now.

Release 12 — days 1–6 daily, dose 4

2022-10-01

Systemic reaction (other): Urge to keep stretching body

Release 12 — day 21, dose 4

2022-10-21

Symptoms: Acid reflux

Release 12 — day 35, dose 4

2022-11-05

Symptoms: Productive cough, sore throat.

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	Gastrooesophageal reflux disease	·	·	✓
SD	Influenza	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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