J32-30891-95999

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 930 / CA
Registered: 2020-12-20

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Registered dependents

BHA-49388-69816 Child or adolescent in my care · Male · 2021-12-22

Timeline

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-20
Registered in v-safe
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2020-12-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-25
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-01-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-11
Report sent to call center — day 0, dose 2
Be unable to work

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 2
MedDRA: Cough, Diarrhoea, Headache — Feeling: Poor · Be unable to work

Free text: Headache, cough, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work

Free text: Congestion, body aches, fatigue, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Dose 3 — Pfizer-BioNTech
2021-10-16
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-22
Survey response — day 14, dose 3
MedDRA: Headache, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: Congestion, headache, sore throat, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-08
Survey response — 12 months, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus congestion, cough, headache, sore throat

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No

Call center

5 call center cases

5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — day 21, dose 2

2021-02-01

Symptoms: Headache, cough, diarrhea

Release 3 — day 28, dose 2

2021-02-08

Symptoms: Congestion, body aches, fatigue, headache

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: Sore throat, stuffy nose

Release 10 — day 14, dose 3

2021-10-22

Symptoms: Congestion, headache

Release 10 — day 42, dose 3

2021-11-21

Symptoms: Congestion, headache, fatigue

Release 10 — 3 months, dose 3

2022-01-07

Symptoms: Congestion, headache, sore throat, diarrhea

Release 12 — 12 months, dose 3

2022-10-08

Symptoms: Sinus congestion, cough, headache, sore throat

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	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	·	·	✓

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