FYA-19017-58380

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-06-06

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

Registered dependents

F4G-33878-31711 Child or adolescent in my care · Female · 2022-07-19

SVR-17111-80495 Child or adolescent in my care · Female · 2022-07-19

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-06-05
Dose 1 — Pfizer-BioNTech
2021-06-06
Registered in v-safe
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Anxious for more data to be shared on pregnant women

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-11
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle pain is in my upper back. Not sure if it's vaccine related or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Good · Muscle or body aches

Free text: And anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-01
Dose 2 — Pfizer-BioNTech
2021-07-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-15
Survey response — day 14, dose 2
MedDRA: Toothache — Feeling: Good

Free text: Tooth ache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — day 35, dose 2
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, headache and congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-10
Dose 3 — Pfizer-BioNTech
2022-01-10
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — day 28, dose 3
MedDRA: Menstruation delayed — Feeling: Good

Free text: Delayed menstrual cycle

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-12
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms off and on

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-05	Pfizer-BioNTech
2	2021-07-01	Pfizer-BioNTech	No
3	2022-01-10	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-08

Systemic reaction (other): Anxious for more data to be shared on pregnant women

Release 9 — days 1–6 daily, dose 1

2021-06-11

Systemic reaction (other): Muscle pain is in my upper back. Not sure if it's vaccine related or not.

Release 9 — day 7, dose 1

2021-06-12

Systemic reaction (other): And anxiety

Release 9 — day 14, dose 2

2021-07-15

Symptoms: Tooth ache

Release 9 — day 35, dose 2

2021-08-05

Symptoms: Sore throat, headache and congestion

Release 11 — day 28, dose 3

2022-02-07

Symptoms: Delayed menstrual cycle

Release 11 — 3 months, dose 3

2022-04-12

Symptoms: Cold symptoms off and on

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	Headache	✓	·	✓
SD	Menstruation delayed	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Toothache	✓	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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