UC8-16866-79736

4 vaccinations 3 coded responses 44 check-ins 2 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 283 / NC
Registered: 2020-12-15

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

Registered dependents

R4V-21010-33684 Child or adolescent in my care · Female · 2021-11-09

Timeline

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

2020-12-15
Registered in v-safe
2020-12-15
Dose 1 — Pfizer-BioNTech
2020-12-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-05
Dose 2 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

2 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

2 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-15
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-29
Survey response — 12 months, dose 3
MedDRA: COVID-19, Fatigue, Headache, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: COVID. Severe headache, fever and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 4
MedDRA: Fibrosis, Oedema peripheral, Peripheral vein stenosis, Surgery, Vascular stent insertion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-15	Pfizer-BioNTech
2	2021-01-05	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	Flu
4	2022-09-15	Pfizer-BioNTech	Flu

Call center

5 call center cases

1 unsuccessful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 9 — day 0, dose 3

2021-09-29

Systemic reaction (other): Dizzy

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: COVID. Severe headache, fever and fatigue.

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
HCVO	Surgery	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibrosis	·	·	✓
SD	Headache	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Peripheral vein stenosis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vascular stent insertion	·	·	✓
SRO	Dizziness	·	·	✓

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