XUA-18295-29303

4 vaccinations 18 coded responses 34 check-ins 17 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 326 / FL
Registered: 2022-01-06

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

2021-12-30
Dose 1 — Pfizer-BioNTech
Co-administered: Flu
2022-01-06
Registered in v-safe
2022-01-06
Health check-in — 7 day, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-14
Survey response — 14 day, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-20
Dose 2 — Pfizer-BioNTech
2022-01-20
Health check-in — 0 day, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2022-01-21
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, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

MedDRA releases: 2024-11 · check-in answers available
2022-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-27
Health check-in — 7 day, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2022-02-03
Survey response — 14 day, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-02-10
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2022-02-17
Survey response — 28 day, dose 2
MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-02-24
Survey response — 35 day, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-03-03
Survey response — 42 day, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-21
Survey response — 3 month, dose 2
MedDRA: Headache — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-07-06
Dose 3 — Pfizer-BioNTech
2022-07-07
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymph node pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2024-11 · check-in answers available
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-11
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-07-13
Health check-in — 7 day, dose 3
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-07-20
Survey response — 14 day, dose 3
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-07-27
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-08-17
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-10-05
Survey response — 3 month, dose 3
MedDRA: Asthma, Bronchitis, Fatigue, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-11-17
Dose 4 — Pfizer-BioNTech
2022-12-06
Survey response — 14 day, dose 4
MedDRA: Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-12-08
Health check-in — 21 day, dose 4
Feeling: Fair

Adult check-in
2022-12-17
Survey response — 28 day, dose 4
MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-12-22
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 42 day, dose 4
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2023-02-16
Survey response — 3 month, dose 4
MedDRA: Thyroid mass — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2023-05-18
Health check-in — 6 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-30	Pfizer-BioNTech	Flu
2	2022-01-20	Pfizer-BioNTech	No
3	2022-07-06	Pfizer-BioNTech	No
4	2022-11-17	Pfizer-BioNTech	No

Free text

Release 10

Symptoms: Extreme Fatigue and dizziness

Release 11

Systemic reaction (other): Swollen lymph node under left arm where injection given feels like baseball and painful.

Systemic reaction (other): Still have left arm under arm lymph node very swollen and painful along with some other lymph nodes in the neck.

Systemic reaction (other): Left side under arm lymph node swollen and painful

Systemic reaction (other): Some pain in under arm left lymph node swelling and pain, but smaller today.

Symptoms: Extreme fatigue

Symptoms: Extreme fatigue, headaches, diarrhea

Symptoms: Fatigue and headaches

Symptoms: Headaches, diarrhea

Symptoms: Headaches

Release 12

Systemic reaction (other): Arm and lymph node under arm where shot given extremely sore and feels rock hard

Systemic reaction (other): Intense itching at shot site.

Symptoms: Headache, coughing, and fatigue

Symptoms: Acute Bronchitis, worsening asthma, and fatgue after seeing family doctor 2 days ago.

Symptoms: Headaches worse. Nauseated for weeks.

Symptoms: Dizziness, nausea, and headaches

Symptoms: Headaches

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	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Thyroid mass	·	·	✓
SRO	Induration	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	·	·	✓

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