XUC-93970-85283

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 145 / NY
Registered: 2021-03-08

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Foreign body sensation in eyes, Nausea, Pain in extremity, Rhinorrhoea, Self-medication, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Eye disorder — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — 7 day, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — 28 day, dose 2
MedDRA: Fatigue, Poor quality sleep — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-02
Survey response — 35 day, dose 2
MedDRA: Chills, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-09
Survey response — 42 day, dose 2
MedDRA: Fatigue, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-27
Survey response — 3 month, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-09-26
Survey response — 6 month, dose 2
MedDRA: Back injury, Living alone, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Health check-in — 7 day, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — 21 day, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — 28 day, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — 42 day, dose 3
Feeling: Fair

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

Adult check-in
2022-03-29
Survey response — 6 month, dose 3
MedDRA: Abdominal discomfort, Fatigue, Hypersomnia, Pyrexia, SARS-CoV-2 test negative, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-28
Survey response — 12 month, dose 3
MedDRA: Tibia fracture — Feeling: Fair · Be unable to do your normal daily activities

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Free text

Release 5

Systemic reaction (other): Had yesterday nausea, arm pain, sneezing, runny nose, felt like I had rocks in my eyes, after taking two hot showers all Asthma medication including one dose of steroid inhaler and one dose of Benadryl last night and another today, feeling ok. Eating light still. Lots of water and ginger ale and a few crackers

Systemic reaction (other): Had to take 1 more Benadryl for itching, no hives no rash

Systemic reaction (other): Feels like I have sand in my eyes

Systemic reaction (other): No meds needed. Still have fatigue. Just had a good dinner

Release 7

Symptoms: Fatigue, a good day followed by two not so good days. Not sleeping as well. New after COVID shot

Release 8

Symptoms: Fatigue, chills, some nausea

Symptoms: Just a harder time with allergies and some fatigue. Simply cannot count on everyday being as good as it was before shots.

Release 9

Symptoms: Pain. Generalized

Symptoms: Hurt my back. Live alone. Taking it easy. Also allergies are so disruptive.

Release 11

Symptoms: Low fever, upset stomach, fatigue. It started on 3/28/22. Lasted two days. At home Covid test, negative. By Monday I felt better. Lots of water, warm ginger ale. Chicken soup and crackers. A little liquid Tylenol and slept a lot.

Release 12

Symptoms: Fractured my tibia

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	Abdominal discomfort	·	·	✓
SD	Back injury	·	·	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Living alone	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Tibia fracture	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Foreign body sensation in eyes	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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