ZQH-21891-33506

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-02-04

Relationship: Self
Race: White
Ethnicity: 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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Survey response — day 0, dose 1
MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: There arent any others. The headache went away after an hour. The pain in my arm lasted approximately 15 minutes. All minor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: That pain where I got the shot was intense when I attempted to stretch my arm or try to pull ck up something.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Some itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Eye irritation — Feeling: Good · Headache

Free text: Left eye was twitching; burning sensation in eyes when I administered eye drops

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

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 · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: FYI: Since obese people may have the tendency to get COVID 19 I believe that social distancing, wearing masks in addition to maintaining a diet free from any sugar and flour products is essential to being COVID free. This virus must feed off off the carbohydrates, etc. You need to do a study

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and need to cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Fever · None

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Epistaxis, Injection site pain, Myalgia, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair

Free text: Ive had a major nosebleed, something like a cold, a little congestion. I drove more than five mikes today and the injection site hurt, muscular pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Lethargy, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive — Feeling: Good

Free text: I tested positive for CoVid.. some symptoms were lethargy, high fever a couple of days, cold symptoms, etc

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): There arent any others. The headache went away after an hour. The pain in my arm lasted approximately 15 minutes. All minor

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): That pain where I got the shot was intense when I attempted to stretch my arm or try to pull ck up something.

2021-02-06

Systemic reaction (other): Some itching

2021-02-07

Systemic reaction (other): Left eye was twitching; burning sensation in eyes when I administered eye drops

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): FYI: Since obese people may have the tendency to get COVID 19 I believe that social distancing, wearing masks in addition to maintaining a diet free from any sugar and flour products is essential to being COVID free. This virus must feed off off the carbohydrates, etc. You need to do a study

2021-02-28

Systemic reaction (other): Sore throat and need to cough

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Ive had a major nosebleed, something like a cold, a little congestion. I drove more than five mikes today and the injection site hurt, muscular pain.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: I tested positive for CoVid.. some symptoms were lethargy, high fever a couple of days, cold symptoms, etc

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	Epistaxis	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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