ZU2-64817-51423

3 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 372 / TN
Registered: 2021-04-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Thirst — Feeling: Good · Fatigue or tiredness

Free text: Increased thirst ( this and fatigue maybe related to activities I did over the last few days)

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Fever · Headache

Free text: Jittery with minor Heart Palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 21, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Minor heart palpitations (mostly while at rest - watching tv, reading a book, laying in bed)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-26
Survey response — 12 months, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Dec 25, 2021 - Jan 6, 2022 (appx) Headache, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Dysphonia, Dyspnoea, Fatigue, Massage, Oropharyngeal pain, SARS-CoV-2 test positive, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Itchy throat June 04 +Cough & Chills June 05 +Fatigue and Positive Home Rapid Antigen Test June 06 +Sore throat resulting in hoarse voice June 07 +Shortness of breath June 17 · Healthcare visit (other): #NAME?

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-24
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-12-19	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Increased thirst ( this and fatigue maybe related to activities I did over the last few days)

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Jittery with minor Heart Palpitations

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Minor heart palpitations (mostly while at rest - watching tv, reading a book, laying in bed)

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Dec 25, 2021 - Jan 6, 2022 (appx) Headache, runny nose

Release 12 — 6 months, dose 3

2022-06-20

Symptoms: Itchy throat June 04 +Cough & Chills June 05 +Fatigue and Positive Home Rapid Antigen Test June 06 +Sore throat resulting in hoarse voice June 07 +Shortness of breath June 17

Healthcare visit (other): #NAME?

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
HCVO	Massage	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Thirst	✓	✓	✓

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