Z3V-12014-48406

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 238 / VA
Registered: 2021-02-21

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

2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-21
Registered in v-safe
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Injection site pruritus — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Allergy cough, itching around the shot area of my left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Hypersensitivity, Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: A sore throat on Sunday February 21, 2021. Allergy cough today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Survey response — day 0, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Running Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Throat felt unusual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Free text: A cough in my throat all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Cough, Dizziness, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Coughing, chest hurts, breathing hard, feel lightheaded and dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Productive cough, Respiratory rate increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Heavy breathing, cough with mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 7, dose 2
MedDRA: Cough, Secretion discharge — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: A cough with mucas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair

Free text: My heart sometime feel like Im out of breath. My heart sometimes beats fast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Cough, Gastrointestinal disorder, Rhinorrhoea, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: A cough all day long and night with mucas. Running noise and stomach issues.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Allergy cough, itching around the shot area of my left arm

2021-02-22

Systemic reaction (other): A sore throat on Sunday February 21, 2021. Allergy cough today.

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): Running Nose

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Throat felt unusual

2021-03-15

Systemic reaction (other): None

2021-03-16

Systemic reaction (other): None

2021-03-17

Systemic reaction (other): A cough in my throat all day.

2021-03-18

Systemic reaction (other): Coughing, chest hurts, breathing hard, feel lightheaded and dizzy

2021-03-19

Systemic reaction (other): Heavy breathing, cough with mucus

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): A cough with mucas

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: My heart sometime feel like Im out of breath. My heart sometimes beats fast.

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: A cough all day long and night with mucas. Running noise and stomach 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	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory rate increased	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓

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