XYR-28429-36713

4 vaccinations 17 coded responses 35 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 381 / TN
Registered: 2021-03-01

Relationship: Self
Race: Black or African American
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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-08
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-29
Survey response — 7 day, dose 2
MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-04
Survey response — 14 day, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-11
Survey response — 21 day, dose 2
MedDRA: Diarrhoea — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-18
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — 35 day, dose 2
MedDRA: Diarrhoea — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-02
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-06-20
Survey response — 3 month, dose 2
MedDRA: Dry throat, Increased upper airway secretion — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-09-19
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — 7 day, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-13
Survey response — 14 day, dose 3
MedDRA: Abnormal faeces, Musculoskeletal stiffness — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-20
Survey response — 21 day, dose 3
MedDRA: Dry throat — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-27
Survey response — 28 day, dose 3
MedDRA: Dry throat, Taste disorder — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-11-03
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 month, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-03-30
Survey response — 6 month, dose 3
MedDRA: Sneezing, Tinnitus — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-04-21
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — 42 day, dose 4
MedDRA: Micturition urgency — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-06-30
Survey response — 3 month, dose 4
MedDRA: Dry throat, Increased upper airway secretion, Sneezing — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-09-29
Survey response — 6 month, dose 4
MedDRA: Muscle discomfort — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2023-03-31
Survey response — 12 month, dose 4
MedDRA: Dry throat, Productive cough, Rhinorrhoea — Feeling: Good

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	No

Free text

Release 4

Systemic reaction (other): Stiffness/injection site

Release 5

Systemic reaction (other): Slight stiffness at injection site (improving daily),using medication previously feeling tired.

Systemic reaction (other): This began 2 days ago ,had abdominal surgery 11 mos. ago so it's difficult to know the cause of the irrigation.

Release 6

Systemic reaction (other): Did experience 2 days of diarrhea previously

Symptoms: Runny Nose

Release 7

Symptoms: Diarrhea, could possibly be linked to a chemo medication.

Symptoms: Diarrhea

Release 9

Symptoms: Constant dryness and mucous in the throat.

Release 10

Symptoms: Stiffness/change in stool

Symptoms: Throat dryness every morning.

Symptoms: Throat very dry upon waking in the morning,mucous taste in mouth.

Symptoms: Sneezing and occasional runny nose after eating or particulates in the air.

Release 11

Symptoms: Sneezing more than usual on occasion,also after eating nose may run,or need to spit out mucous after eating. Ear ringing sometimes.

Symptoms: Constant urinary urgency

Release 12

Symptoms: After meals some accumulation of mucous in the throat. Occasionally dry throat upon waking. At times sneezing, but feeling OK in general.

Symptoms: Hip/Thigh muscle irritation

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	Abnormal faeces	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Micturition urgency	·	·	✓
SD	Muscle discomfort	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Taste disorder	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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