YLS-11616-49125

3 vaccinations 8 coded responses 30 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 234 / VA
Registered: 2021-07-09

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

Registered dependents

VBK-55814-75715 Child or adolescent in my care · Female · 2021-08-05

4W5-31000-70284 Child or adolescent in my care · Male · 2021-09-03

3J3-51716-30120 Child or adolescent in my care · Female · 2021-12-17

WTJ-32660-91954 Child or adolescent in my care · Female · 2021-12-17

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-07-09
Registered in v-safe
2021-07-09
Dose 1 — Pfizer-BioNTech
2021-07-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in legs specifically thighs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Leg pain especially thighs

MedDRA releases: 2024-11 · check-in free text available
2021-07-23
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Mainly my right leg and knee has hurt on and off. Last night and today has been a bit worse.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-31
Dose 2 — Pfizer-BioNTech
2021-07-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-08-01
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 do your normal daily activities

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-08-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Gastrointestinal disorder — Feeling: Good

Free text: Digestive issues such as diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — 3 months, dose 2
MedDRA: Brain fog, Heavy menstrual bleeding, Injection site pain, Menstruation irregular — Feeling: Fair

Free text: Period was irregular and longer then normal. I have also been feeling like I'm in a fog. Also the area on my arm where the injection site was has been sore just a bit but only once in a while.

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Dose 3 — Pfizer-BioNTech
2022-02-22
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · 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
2022-02-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · 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
2022-02-25
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea exertional — Feeling: Poor · Site: Pain, Redness, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: When doing a decent amount of walking I get out of breath fairly quickly

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-03-02
Survey response — day 7, dose 3
MedDRA: Arthralgia, Brain fog, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Shoulder pain/upper arm pain and kind of have brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — day 14, dose 3
MedDRA: Asthenia, Fatigue, Gastrointestinal disorder — Feeling: Fair

Free text: Just overall feeling tired and very little energy. Also I have had digestive issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-09	Pfizer-BioNTech	No
2	2021-07-31	Pfizer-BioNTech	No
3	2022-02-22	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-15

Systemic reaction (other): Pain in legs specifically thighs

Release 9 — day 7, dose 1

2021-07-16

Systemic reaction (other): Leg pain especially thighs

Release 9 — day 14, dose 1

2021-07-23

Symptoms: Mainly my right leg and knee has hurt on and off. Last night and today has been a bit worse.

Release 9 — day 42, dose 2

2021-09-11

Symptoms: Digestive issues such as diarrhea

Release 10 — 3 months, dose 2

2021-11-04

Symptoms: Period was irregular and longer then normal. I have also been feeling like I'm in a fog. Also the area on my arm where the injection site was has been sore just a bit but only once in a while.

Release 11 — days 1–6 daily, dose 3

2022-02-25

Systemic reaction (other): When doing a decent amount of walking I get out of breath fairly quickly

Release 11 — day 7, dose 3

2022-03-02

Systemic reaction (other): Shoulder pain/upper arm pain and kind of have brain fog

Release 11 — day 14, dose 3

2022-03-11

Symptoms: Just overall feeling tired and very little energy. Also I have had digestive issues

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	Arthralgia	✓	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Injection site pain	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Pain in extremity	✓	·	✓
SRO	Arthralgia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dyspnoea exertional	·	·	✓
SRO	Pain in extremity	✓	·	✓

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