Y8N-33869-56939

5 vaccinations 15 coded responses 61 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 750 / TX
Registered: 2021-03-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

2TE-16784-42547 Child or adolescent in my care · Male · 2022-04-11

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling unfocused and "floaty

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

Free text: Unfocused and irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Dizziness, Hyperhidrosis, Irritability, Myoclonus — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Periods of profuse sweating, difficulty focusing, irritability, dizzy, body jolt sensations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Hyperhidrosis, Irritability — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still some sweating, still a little hard to focus, irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Vision blurred — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia, difficulty focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — day 14, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Survey response — day 0, dose 3
MedDRA: Irritability — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Free text: Irritable

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Insomnia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Dizziness, insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Fair

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

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-11
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Oral herpes — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Loss of appetite, cold sores all over bottom lip

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good

Free text: Really bad cold sores. Probably one of the worst outbreaks I've had.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good

Free text: Cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good

Free text: Still have cold sores but they are healing

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · 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
2022-09-11
Survey response — days 1–6 daily, dose 5
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Survey response — days 1–6 daily, dose 5
MedDRA: Hyperhidrosis, Oral herpes — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: Sweating, cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Influenza — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu

MedDRA releases: 2024-11 · check-in free text available
2023-03-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No
5	2022-09-09	Pfizer-BioNTech	Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Feeling unfocused and "floaty

2021-03-04

Systemic reaction (other): Unfocused and irritable

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Periods of profuse sweating, difficulty focusing, irritability, dizzy, body jolt sensations

2021-03-26

Systemic reaction (other): Still some sweating, still a little hard to focus, irritable

2021-03-29

Systemic reaction (other): Insomnia, difficulty focusing

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Insomnia

Release 10 — day 0, dose 3

2021-10-06

Systemic reaction (other): Irritable

Release 10 — days 1–6 daily, dose 3

2021-10-08

Systemic reaction (other): Dizziness, insomnia

Release 11 — days 1–6 daily, dose 4

2022-04-11

Systemic reaction (other): Loss of appetite, cold sores all over bottom lip

2022-04-12

Systemic reaction (other): Really bad cold sores. Probably one of the worst outbreaks I've had.

2022-04-13

Systemic reaction (other): Cold sores

2022-04-14

Systemic reaction (other): Still have cold sores but they are healing

Release 12 — days 1–6 daily, dose 5

2022-09-11

Systemic reaction (other): Sweating

2022-09-12

Systemic reaction (other): Sweating, cold sores

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Flu

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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	Influenza	·	·	✓
SD	Insomnia	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Myoclonus	✓	✓	✓
SRO	Oral herpes	·	·	✓
SRO	Vision blurred	✓	✓	✓

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