M78-29580-97276

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 113 / NY
Registered: 2021-02-04

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

Timeline

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

2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Survey response — day 0, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Contusion — Feeling: Poor

Free text: Bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Pain on the arm got vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Ear pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain on the arm got vaccinated and ear ache on the same side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 42, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-07
Survey response — 12 months, dose 3
MedDRA: Breast mass — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mass in right breast. Had a biopsy in July 2022. Benign but have a follow up mammogram and US in Feb 2023

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-11-05	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Loss of appetite

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Bruise

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Pain on the arm got vaccinated

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Pain on the arm got vaccinated and ear ache on the same side

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Sore throat and fatigue

Release 12 — 12 months, dose 3

2022-11-07

Symptoms: Mass in right breast. Had a biopsy in July 2022. Benign but have a follow up mammogram and US in Feb 2023

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	Breast mass	·	·	✓
SD	Contusion	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓

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