FUS-12360-86229

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 121 / NY
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Poor · Fever · Chills, Headache, Nausea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Nausea

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain

Free text: Congestion

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

Adult check-in
2021-03-14
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Fever · Be unable to do your normal daily activities

Free text: Tingling and numbness in extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Fever · Chills

Adult check-in
2021-04-10
Survey response — day 14, dose 2
MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild feverChills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild fever and chills daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Office visit, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, mild cough, wheezing, needed to see the doctor and get an inhaler for 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath, coughing, need to use inhaler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Bronchitis, Cough, Office visit, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough and sore throat persistent for 3 weeks- bronchitis · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Congestion

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Anxiety

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Tingling and numbness in extremities

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Mild feverChills

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Mild fever and chills daily

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Shortness of breath, mild cough, wheezing, needed to see the doctor and get an inhaler for 2 weeks.

Release 8 — day 35, dose 2

2021-05-01

Symptoms: Shortness of breath, coughing, need to use inhaler

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Cough and sore throat persistent for 3 weeks- bronchitis

Healthcare visit (other): Family doctor

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	Office visit	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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