DM5-15219-93168

4 vaccinations 12 coded responses 52 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 919 / CA
Registered: 2021-02-14

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

Registered dependents

8E2-20131-63378 Child or adolescent in my care · · 2021-11-08

4PV-99400-49907 Child or adolescent in my care · Male · 2022-05-31

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-14
Registered in v-safe
2021-02-14
Dose 1 — Pfizer-BioNTech
2021-02-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-21
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-07
Dose 2 — Pfizer-BioNTech
2021-03-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I took tylenol to reduce the fever when it reached 103 F..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 28, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, stuffy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Cold-like symptoms; sore throat, stuffy.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 21, dose 3
MedDRA: Fatigue, Nasal congestion, Nasopharyngitis — Feeling: Fair

Free text: General cold-like symptoms. Stuffy nose, tired.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Stuffy. Headache. Tired.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Fatigue, Nasal congestion — Feeling: Good

Free text: Stuffy or tired occasionally.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Dose 4 — Pfizer-BioNTech
2022-11-15
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-11-20
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-13
Survey response — day 28, dose 4
MedDRA: Body temperature increased, Headache, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sick, sore throat, headache fever 100.3. Only lasted about 2 days. Did not test positive for COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-14
Survey response — 3 months, dose 4
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Pfizer-BioNTech
2	2021-03-07	Pfizer-BioNTech
3	2021-11-08	Pfizer-BioNTech	No
4	2022-11-15	Pfizer-BioNTech	No

Free text

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): Sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): I took tylenol to reduce the fever when it reached 103 F..

Release 6 — day 28, dose 2

2021-04-04

Symptoms: Sore throat, stuffy.

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Cold-like symptoms; sore throat, stuffy.

Release 10 — day 21, dose 3

2021-11-29

Symptoms: General cold-like symptoms. Stuffy nose, tired.

Release 10 — day 28, dose 3

2021-12-08

Symptoms: Stuffy. Headache. Tired.

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Stuffy or tired occasionally.

Release 12 — days 1–6 daily, dose 4

2022-11-20

Systemic reaction (other): Sore throat

2022-11-21

Systemic reaction (other): Sore throat

Release 12 — day 7, dose 4

2022-11-22

Systemic reaction (other): Sore throat

Release 12 — day 28, dose 4

2022-12-13

Symptoms: Sick, sore throat, headache fever 100.3. Only lasted about 2 days. Did not test positive for 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	Body temperature increased	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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