YF9-16807-84814

3 vaccinations 11 coded responses 22 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 100 / NY
Registered: 2021-04-17

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache

Free text: Kinda hard to tell - since cancer meds side effects are similar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Appetite disorder — Feeling: Good · Headache, Fatigue or tiredness

Free text: Hunger very very hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Psoriasis seems worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Dry mouth — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Free text: Dry mouth & eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Dry mouth — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Free text: Dry eyes mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Dry mouth — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry eye mouth upon waking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 28, dose 2
MedDRA: Contusion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Well; my usual anti- hormonal implant to fight cancer left me with a substantial bruise - never bruised to this extent before so just making note of it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: My psoriasis had a flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraines have gotten worse; not sure if anti hormonal /anti cancer drugs such as Zoladex; or anestrazole are cause; vaccine or the interactions of both.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-05-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-07-06
Survey response — 6 months, dose 3
MedDRA: Fatigue, Sinus headache, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus headache; post nasal drip; fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-01-03
Survey response — 12 months, dose 3
MedDRA: Cough, Decreased appetite, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech
3	2022-01-03	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Kinda hard to tell - since cancer meds side effects are similar

2021-04-21

Systemic reaction (other): Hunger very very hungry

2021-04-23

Systemic reaction (other): Psoriasis seems worse

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Dry mouth & eyes

2021-05-09

Systemic reaction (other): Dry eyes mouth

2021-05-10

Systemic reaction (other): Dry eye mouth upon waking

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Well; my usual anti- hormonal implant to fight cancer left me with a substantial bruise - never bruised to this extent before so just making note of it.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: My psoriasis had a flare

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Migraines have gotten worse; not sure if anti hormonal /anti cancer drugs such as Zoladex; or anestrazole are cause; vaccine or the interactions of both.

Release 12 — 6 months, dose 3

2022-07-06

Symptoms: Sinus headache; post nasal drip; fatigue

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	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Sinus headache	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Psoriasis	✓	✓	✓

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