KK3-13207-75564

4 vaccinations 8 coded responses 53 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 953 / CA
Registered: 2021-05-07

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-06
Dose 1 — Pfizer-BioNTech
2021-05-07
Registered in v-safe
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dental paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains · Be unable to work

Free text: Tingly teeth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
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
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-13
Survey response — day 7, dose 1
MedDRA: Vaginal haemorrhage — Feeling: Good · Site: Pain

Free text: Spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-28
Dose 2 — Pfizer-BioNTech
2021-05-28
Survey response — day 0, dose 2
MedDRA: Chest pain — Feeling: Fair · Headache

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Good · Site: Pain · Joint pains, Diarrhea

Free text: Spotting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-11
Survey response — day 14, dose 2
MedDRA: Pain of skin, Pre-existing disease — Feeling: Good

Free text: Skin pain similar to shingles on the side of my body that I had shingles on a few months ago. No rash. Lasted several days, has faded but still present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 3 months, dose 2
MedDRA: Menstruation irregular — Feeling: Fair

Free text: Menstrual irregularities

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-28
Dose 3 — Moderna
2021-11-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-29
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, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Diarrhea

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Malaise, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Feeling generally under the weather, sniffles, scratchy throat, upset stomach issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 42, dose 3
MedDRA: Chest pain, Headache — Feeling: Fair

Free text: Some upper chest pain. Headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-04
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-04
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea

Adult check-in
2022-11-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Pfizer-BioNTech
2	2021-05-28	Pfizer-BioNTech
3	2021-11-28	Moderna	No
4	2022-11-04	Pfizer-BioNTech	Flu

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-07

Systemic reaction (other): Tingly teeth

Release 8 — day 7, dose 1

2021-05-13

Systemic reaction (other): Spotting

Release 8 — day 0, dose 2

2021-05-28

Systemic reaction (other): Chest pain

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Spotting

Release 9 — day 14, dose 2

2021-06-11

Symptoms: Skin pain similar to shingles on the side of my body that I had shingles on a few months ago. No rash. Lasted several days, has faded but still present.

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: Menstrual irregularities

Release 10 — day 14, dose 3

2021-12-12

Symptoms: Feeling generally under the weather, sniffles, scratchy throat, upset stomach issues

Release 10 — day 42, dose 3

2022-01-09

Symptoms: Some upper chest pain. Headaches.

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	Abdominal discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Pain of skin	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dental paraesthesia	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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