Z6G-15961-97418

3 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 633 / MO
Registered: 2021-06-24

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

2021-06-03
Dose 1 — Pfizer-BioNTech
2021-06-24
Registered in v-safe
2021-06-24
Dose 2 — Pfizer-BioNTech
2021-06-24
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-06-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Probably not related to the vaccine but I had a random zing in my shin while i was standing and thought something had bitten me but nothing had

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-06-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Good

Free text: Some heart burn kind of feeling in chest on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-25
Survey response — day 28, dose 2
MedDRA: Fatigue, Heart rate increased — Feeling: Fair

Free text: Fatigue. Heart beating a little faster than normal today.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine, loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Scratchy throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Good · Site: Pain

Free text: Still loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache

Adult check-in
2022-01-06
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-13
Survey response — day 14, dose 3
MedDRA: Fatigue, Headache, Heart rate irregular — Feeling: Fair

Free text: Some erratic heart beats, headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-04-02
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Aphasia — Feeling: Fair

Free text: Some cramping in abdomen, sometimes struggle with finding right words when speaking

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — 6 months, dose 3
MedDRA: Depressed mood, Fatigue, Muscle twitching, Weight increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Relatively chronic fatigue and depressed mood, weight gain, some muscle twitching in calf (not painful)

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Blood thyroid stimulating hormone increased, Palpitations, Uterine polyp — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm not sure when the last check in was but heart palpitations, elevated TSH levels, uterine polyp, possible depression

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Pfizer-BioNTech	No
2	2021-06-24	Pfizer-BioNTech	No
3	2021-12-30	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-26

Systemic reaction (other): Probably not related to the vaccine but I had a random zing in my shin while i was standing and thought something had bitten me but nothing had

2021-06-29

Systemic reaction (other): Some heart burn kind of feeling in chest on and off

Release 9 — day 28, dose 2

2021-07-25

Symptoms: Fatigue. Heart beating a little faster than normal today.

Release 10 — days 1–6 daily, dose 3

2021-12-31

Systemic reaction (other): Migraine, loss of appetite

2022-01-01

Systemic reaction (other): Scratchy throat

2022-01-03

Systemic reaction (other): Still loss of appetite

Release 10 — day 14, dose 3

2022-01-13

Symptoms: Some erratic heart beats, headaches, fatigue

Release 11 — 3 months, dose 3

2022-04-02

Symptoms: Some cramping in abdomen, sometimes struggle with finding right words when speaking

Release 12 — 6 months, dose 3

2022-06-30

Symptoms: Relatively chronic fatigue and depressed mood, weight gain, some muscle twitching in calf (not painful)

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: I'm not sure when the last check in was but heart palpitations, elevated TSH levels, uterine polyp, possible depression

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	Abdominal pain	·	·	✓
SD	Aphasia	·	·	✓
SD	Blood thyroid stimulating hormone increased	·	·	✓
SD	Depressed mood	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	·	✓
SD	Heart rate irregular	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Palpitations	·	·	✓
SD	Uterine polyp	·	·	✓
SD	Weight increased	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Throat irritation	·	·	✓

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