YA4-21886-95561

5 vaccinations 6 coded responses 47 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 873 / NM
Registered: 2021-02-06

Relationship: Self
Race: American Indian or Alaska Native
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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Pfizer-BioNTech
2021-02-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — day 14, dose 2
MedDRA: Ear pain, Headache, Vitreous floaters — Feeling: Good

Free text: My right eye has started to have floaters which are annoying. My scheduled eye appointment is until May. The right side of my head hurts and I occasionally have ear pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 21, dose 2
MedDRA: Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right eye floater that is annoying.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 28, dose 2
MedDRA: Insomnia, Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: Floater in right eye and insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 35, dose 2
MedDRA: Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: Floater in right eye is slowly subsiding. I do not have an eye appointment until May.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 42, dose 2
MedDRA: Photopsia, Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: A flash in my right eye before the floater comes into sight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, 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
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains

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

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Sinus congestion — Feeling: Good · Be unable to work or attend school

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Dose 4 — Pfizer-BioNTech
Co-administered: Pneumonia:Tetanus
2022-08-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-08-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-08-29
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-09-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu:Shingles
2023-02-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-06-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	No
4	2022-08-22	Pfizer-BioNTech	Pneumonia:Tetanus
5	2022-12-20	Pfizer-BioNTech	Flu:Shingles

Free text

Release 5 — day 14, dose 2

2021-03-13

Symptoms: My right eye has started to have floaters which are annoying. My scheduled eye appointment is until May. The right side of my head hurts and I occasionally have ear pain.

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Right eye floater that is annoying.

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Floater in right eye and insomnia.

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Floater in right eye is slowly subsiding. I do not have an eye appointment until May.

Release 7 — day 42, dose 2

2021-04-12

Symptoms: A flash in my right eye before the floater comes into sight.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Sinus congestion

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	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Vitreous floaters	✓	✓	✓

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