AHW-27137-37939

5 vaccinations 6 coded responses 46 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2020-12-21

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

Registered dependents

GN8-45250-05587 Child or adolescent in my care · Female · 2022-06-25

Timeline

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Survey response — day 0, dose 1
MedDRA: Breast feeding — Feeling: Good

Free text: I am breastfeeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
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
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: A few days of fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
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
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Good · Site: Pain, Swelling

Free text: Day after vaccine extreme fatigue. Now no symptoms

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 — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Moderna
2022-07-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-03
Survey response — 3 months, dose 4
MedDRA: Pregnancy — Feeling: Fair · 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: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-07
Call 1 — Left Voicemail
2022-10-08
Dose 5 — Pfizer-BioNTech
2022-10-08
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 21, dose 5
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-06-02	Moderna	No
5	2022-10-08	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-21

Systemic reaction (other): I am breastfeeding

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Gas

Release 3 — day 21, dose 2

2021-02-02

Symptoms: A few days of fatigue

Release 9 — days 1–6 daily, dose 3

2021-09-28

Systemic reaction (other): Day after vaccine extreme fatigue. Now no symptoms

Release 12 — 3 months, dose 4

2022-09-03

Symptoms: Pregnant

Release 12 — day 21, dose 5

2022-10-29

Symptoms: Covid

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Breast feeding	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Gastrointestinal pain	✓	✓	✓

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