UX7-13600-35563

3 vaccinations 16 coded responses 39 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 580 / ND
Registered: 2021-03-30

Relationship: Self
Race: White
Ethnicity: Not 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

2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-30
Registered in v-safe
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Rash pruritic — Feeling: Fair · Nausea, Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — 14 day, dose 1
Feeling: Poor

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — 7 day, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-03
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 month, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-21
Survey response — 6 month, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Sinus disorder — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-11-18
Health check-in — 0 day, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-25
Survey response — 7 day, dose 3
MedDRA: Lymphadenopathy, Oral herpes — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-02
Survey response — 14 day, dose 3
MedDRA: Diarrhoea — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2021-12-09
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — 28 day, dose 3
Feeling: Fair

Adult check-in
2021-12-23
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — 42 day, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor

MedDRA releases: 2024-11 · check-in answers available
2022-02-17
Survey response — 3 month, dose 3
MedDRA: Back pain, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-19
Survey response — 6 month, dose 3
MedDRA: Sinusitis — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-11-19
Survey response — 12 month, dose 3
MedDRA: Oropharyngeal pain, Sinus disorder, Sneezing, Upper-airway cough syndrome — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No

Free text

Release 6

Systemic reaction (other): Rash is itchy

Release 7

Systemic reaction (other): High heart rate (hovering around 100), low blood pressure 94/68

Release 8

Systemic reaction (other): Swollen painful lymph node under armpit

Release 9

Symptoms: Worse than usual allergies, sinus infection

Release 10

Symptoms: Allergy and sinus issues (it's fall). Significant increase in ectopic heart beat incidents. Normally happens once every year or two but has been every day and lasting longer per incident over the last week.

Systemic reaction (other): Chemical taste in my mouth. This vaccine tastes terrible

Systemic reaction (other): Swollen lymph nodes

Systemic reaction (other): Swollen, painful lymph node

Systemic reaction (other): Swollen lymph nodes

Systemic reaction (other): Swollen lymph nodes, fever blister

Symptoms: Diarrhea

Symptoms: Runny nose, headache, sore throat, exhausted

Release 11

Symptoms: Runny nose, sore throat, sneezing, back pain

Symptoms: Sinus infection

Release 12

Symptoms: Sinus issues. Post nasal drip. Sore throat. Sneezing

Free-text releases are not linked to a specific 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	Back pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dysgeusia	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oral herpes	·	·	✓
SRO	Rash pruritic	✓	✓	✓

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