W28-26496-56965

5 vaccinations 5 coded responses 43 check-ins 4 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 190 / PA
Registered: 2021-03-05

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

Registered dependents

3AE-24781-64489 Child or adolescent in my care · Male · 2022-06-30

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-08
Dose 4 — Pfizer-BioNTech
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-08
Survey response — 6 months, dose 4
MedDRA: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Severe sore throat, congestion, but negative Covid tests

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Dose 5 — Moderna
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-13
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspepsia, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache

Free text: Heartburn, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-14
Survey response — day 35, dose 5
MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Oropharyngeal pain — Feeling: Fair

Free text: Reflux is worse. Heart burn and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-10
Survey response — 6 months, dose 5
MedDRA: Discharge, Dysphonia, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-03-08	Pfizer-BioNTech	No
5	2022-09-09	Moderna	No

Free text

Release 9 — day 0, dose 3

2021-10-01

Systemic reaction (other): Pregnancy

Release 12 — 6 months, dose 4

2022-09-08

Symptoms: Severe sore throat, congestion, but negative Covid tests

Release 12 — days 1–6 daily, dose 5

2022-09-13

Systemic reaction (other): Heartburn, sore throat

Release 12 — day 35, dose 5

2022-10-14

Symptoms: Reflux is worse. Heart burn and sore throat

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	Discharge	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Dysphonia	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pregnancy	·	·	✓

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