R8L-42420-66951

5 vaccinations 7 coded responses 63 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 982 / WA
Registered: 2021-04-15

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

Registered dependents

4JM-17738-16789 Child or adolescent in my care · Female · 2022-06-24

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: Joint aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Intoxication feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Skin sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Good

Free text: Throat irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-20
Dose 4 — Pfizer-BioNTech
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-20
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-27
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Survey response — day 14, dose 5
MedDRA: Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have RSV

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	No
4	2022-07-20	Pfizer-BioNTech	No
5	2022-10-20	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Brain fog

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Tinnitis

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Joint aches

Release 8 — day 0, dose 2

2021-05-06

Systemic reaction (other): Intoxication feeling

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Skin sensitivity

2021-05-08

Systemic reaction (other): Throat irritation

Release 12 — day 14, dose 5

2022-11-03

Symptoms: I have RSV

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	Arthralgia	✓	✓	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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