XW8-95996-87889

4 vaccinations 12 coded responses 53 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 450 / OH
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Survey response — 0 day, dose 1
MedDRA: Anxiety — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability, Nervousness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, 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
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Injection site bruising — Feeling: Good · Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Health check-in — 7 day, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-19
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — 7 day, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-11-07
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-07
Health check-in — 0 day, dose 3
Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2021-11-14
Health check-in — 7 day, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-21
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-11-28
Survey response — 21 day, dose 3
MedDRA: Injection site pain — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-12-05
Survey response — 28 day, dose 3
MedDRA: Condition aggravated, Injection site pain, Pre-existing disease — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-12-12
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-02-06
Survey response — 3 month, dose 3
MedDRA: Blepharospasm, Vertigo — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-05-08
Survey response — 6 month, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-10-22
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-23
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia, Restlessness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-10-29
Health check-in — 7 day, dose 4
Feeling: Good · None

Adult check-in
2022-11-05
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2023-01-21
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2023-04-22
Survey response — 6 month, dose 4
MedDRA: Conjunctivitis, Headache — Feeling: Good · Be unable to work or attend school

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-11-07	Pfizer-BioNTech	Flu
4	2022-10-22	Pfizer-BioNTech	Flu

Free text

Release 5

Systemic reaction (other): Anxious

Systemic reaction (other): Nervous/irritable

Systemic reaction (other): Bruising at injection site

Systemic reaction (other): Slight bruising and tenderness at injection site

Systemic reaction (other): Bruising at injection site, constipation

Release 10

Systemic reaction (other): Difficulty falling asleep last night.

Symptoms: My arm is still extremely tender over the injection site when touched.

Symptoms: My arm at injection site is still very sore to the touch. I have noticed increased sensation of GERD.

Release 11

Symptoms: Right eye twitching, one episode of vertigo

Symptoms: Sore throat

Release 12

Systemic reaction (other): Restless-difficulty sleeping

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	Blepharospasm	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vertigo	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Restlessness	·	·	✓

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