XYB-23466-27505

5 vaccinations 10 coded responses 41 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2021-04-04

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Joint pains

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

Adult check-in
2021-04-11
Survey response — 7 day, dose 1
MedDRA: Sneezing — Feeling: Fair · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea, Vomiting — Feeling: Fair · Site: Pain · Nausea, Vomiting · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Nausea, Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Food poisoning — 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
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-01
Survey response — 7 day, dose 2
MedDRA: Food poisoning — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-08
Health check-in — 14 day, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-23
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-10-30
Health check-in — 7 day, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-06
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Survey response — 21 day, dose 3
MedDRA: Incomplete spinal fusion — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2021-11-20
Survey response — 28 day, dose 3
MedDRA: Ankle operation, Malaise, Medical counselling, Pre-existing disease, Procedural pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-28
Health check-in — 35 day, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — 42 day, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — 3 month, dose 3
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — 6 month, dose 3
Feeling: Fair

Adult check-in
2022-05-13
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-20
Health check-in — 7 day, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-27
Health check-in — 14 day, dose 4
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — 21 day, dose 4
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — 28 day, dose 4
Feeling: Fair

Adult check-in
2022-06-17
Health check-in — 35 day, dose 4
Feeling: Fair

Adult check-in
2022-06-24
Survey response — 42 day, dose 4
MedDRA: Back disorder, Emergency care — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-08-12
Health check-in — 3 month, dose 4
Feeling: Fair

Adult check-in
2022-09-17
Dose 5 — Pfizer-BioNTech
2022-11-11
Health check-in — 6 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	Flu
4	2022-05-13	Pfizer-BioNTech	No
5	2022-09-17	Pfizer-BioNTech	No

Free text

Release 7

Systemic reaction (other): Pain is from old injuries

Systemic reaction (other): Sneezing

Release 8

Systemic reaction (other): The nausea and vomiting are from food poisoning not the shot

Systemic reaction (other): Symptoms are due to food poisoning

Systemic reaction (other): Still fighting food poisoning

Systemic reaction (other): Still feeling the effects of food poisoning

Systemic reaction (other): Still dealing with a tough case of food poisoning

Release 10

Symptoms: Nothing to do with vacc. Having surgery next week on a failed fusion.

Symptoms: I had to have ankle fusion surgery redone 5 days ago and was sent home from the hospital the next day so not feeling great. No covid or booster shot issues. Finally am starting to manage the pain from surgery.

Release 12

Symptoms: My back has gone out on me and i had to go to the ER.

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	Ankle operation	·	·	✓
SD	Back disorder	·	·	✓
SD	Emergency care	·	·	✓
SD	Incomplete spinal fusion	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Procedural pain	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Food poisoning	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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