EB9-21715-04695

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 220 / VA
Registered: 2021-02-01

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

JV7-26417-07630 Child or adolescent in my care · Male · 2022-07-06

Timeline

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

2021-02-01
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Suppressed lactation — Feeling: Good

Free text: Decrease in breast milk supply

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Dizziness, Headache, Illness, Lymph node pain, Lymphadenopathy, Nausea, Oropharyngeal pain, Pain, Paranasal sinus discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Currently sick: headache/sinus pressure, sore throat, swollen painful neck lymph nodes, soreness, nausea, lightheaded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-29
Dose 3 — Pfizer-BioNTech
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Survey response — day 14, dose 3
MedDRA: Headache, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting, headache, sinus pressure, runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — day 21, dose 3
MedDRA: Chest discomfort, Chest pain, Cough, Dyspnoea, Fatigue, Headache, Lacrimation increased, Myalgia, Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose / congestion Sore throat Sinus pressure Headache Coughing Sneezing Chest tightness/soreness Watery eyes Easily winded Muscle soreness Shortness of breath Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Survey response — 3 months, dose 3
MedDRA: Ear infection, Sinusitis — Feeling: Poor · 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: Sinus and ear infections

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 3 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)
2022-03-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-12-29
Survey response — 12 months, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · 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: Chronic fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 12 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)
2022-12-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-12-29	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 2

2021-03-02

Systemic reaction (other): Decrease in breast milk supply

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Currently sick: headache/sinus pressure, sore throat, swollen painful neck lymph nodes, soreness, nausea, lightheaded.

Release 10 — day 14, dose 3

2022-01-12

Symptoms: Vomiting, headache, sinus pressure, runny nose, sore throat

Release 10 — day 21, dose 3

2022-01-19

Symptoms: Runny nose / congestion Sore throat Sinus pressure Headache Coughing Sneezing Chest tightness/soreness Watery eyes Easily winded Muscle soreness Shortness of breath Fatigue

Release 11 — 3 months, dose 3

2022-03-30

Symptoms: Sinus and ear infections

Release 12 — 12 months, dose 3

2022-12-29

Symptoms: Chronic fatigue

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	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Vomiting	·	·	✓
SRO	Suppressed lactation	✓	✓	✓

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