25G-35223-26613

5 vaccinations 27 coded responses 48 check-ins 17 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 850 / AZ
Registered: 2021-03-27

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

Timeline

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

2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Dizziness, Hallucination, visual, Immediate post-injection reaction, Medical counselling, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches

Free text: Saw stars a couple of minutes after receiving injection 10:45 am 3/26, but Pharmacist said it was from my extreme anxiety about getting the shot. I took Meclizine 3 min. after shot and it resolved within 5 min. Last night dizzy again, took meclizine before bed. Today, 3/27 dizziness again, took Meclizine 1:45pm. I had pre-existing vertigo and have needed Meclizine for over 15 years now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Good · Site: Pain

Free text: Still some dizziness, but get it from my computer glasses watching shows on computer much, and my benign positional vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dry skin, Food allergy, Hypersensitivity, Medical counselling, Paraesthesia oral, Pharyngeal paraesthesia, Pruritus, Respiratory tract congestion — Feeling: Good · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Having usual allergy symptoms today (congestion, face dry & itchy, reaction to something I ate (tingling lips & the throat) · Healthcare visit (other): Called allergy office. Waiting for a call back). Appointment on 4/9 to do skin test for ingredient in Pfizer shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Still have itchiness on face, head, and some other body areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Pruritus — Feeling: Fair · Nausea

Free text: Still itchiness on face, scalp, in nose, ears, and eyes. On neck also. Waiting for my skin allergy test on 9th of April. Will also test me for PEG ingredient in Pfizer vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 1
MedDRA: Abdominal pain lower, Back pain, Medical counselling, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Low back pain and left low abdominal or large intestinal pain worse today after trying a homeopathic allergy medicine yesterday and last night (Genexa). Have been having these pains though regularly for around a year now. MDs cant find whats wrong. (NOT from the vaccine), I believe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 1
MedDRA: Office visit, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Saw allergy MD today, 4/9/21 to test if I am allergic to PEG by scratch and needle under skin test which turned up negative. Shes not sure why I had all over body itchiness start 6 hrs after 1st Pfizer shot. May be food allergies or sensitivities. · Healthcare visit (other): Had PEG test at allergy office today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Survey response — day 0, dose 2
MedDRA: Dehydration, Dizziness, Injection site pain, Nausea, Peripheral coldness, Self-medication — Feeling: Fair · Site: Pain · Headache

Free text: Took Meclizine 9:50am had shot at 10:47am with no dizziness. Took nap at 1:30pm woke at 2pm feeling dehydrated and dizzy. Drank Pedialyte 6 oz. Now a bit nauseous. Arm felt a little ache at injection site & cold in arm I got shot. Will take another meclizine (it usually works for 6 hours on me)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Dizziness, Headache, Hyperhidrosis, Injection site pain, Insomnia, Nausea, Pain in extremity, Paraesthesia, Vertigo — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain

Free text: Finally slept at 2am today. Had extreme Vertigo with dizziness yesterday night and had to take meclizine 2 times yesterday then at 12:50am today. Was sweating with temperature of 97.3. Today headache, slight nausea, slight dizziness, pain in arm I got 2nd shot shoulder to finger joint pain & hand tingling. Used heating pad on my lower abdomen all night then on arms because I felt chills since yesterday evening (not today).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Headache, Increased upper airway secretion, Nausea, Paranasal sinus hypersecretion, Self-medication — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain

Free text: Dizziness all day (took meclizine which helped for a while, but need to take it again for dizziness before bed (11:30pm). Took pepto bismol for nausea just now. Nausea not from shot but from mucus in throat from sinuses. Headache not helped with Tylenol tonight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, Pruritus, Self-medication, Somnolence — Feeling: Poor

Free text: Ate smoked salmon on 5/13/21 then allergic reaction of all over itchiness & grogginess. Am allergic or sensitive to many foods, pollens, weeds, all allergy medicines except Benadryl. All not due to any Covid or Pfizer vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Dry eye, Eye pain, Sinus pain — Feeling: Fair

Free text: Eye pain, dryness, and sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Abdominal pain lower, Computerised tomogram abnormal, Flank pain, Nephrolithiasis, Office visit, Sacroiliitis, Spondylitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Kidney stone 5X7mm causing pain right side, lower abdominal pain left & right (note: ct showed sacroiliitis, multiple stones (stone former), & Cervical arthritis (all not due to Covid or Covid vaccines). To have a Pfizer booster when I feel better. · Healthcare visit (other): Had my physical today. Telehealth visit scheduled for this afternoon may have to go to ER

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-19
Call 1 — Could Not Reach Participant
2021-10-22
Call 2 — Could Not Reach Participant
2021-11-20
Dose 3 — Pfizer-BioNTech
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-07-25
Dose 4 — Pfizer-BioNTech
2022-07-26
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site coldness, Injection site pain — Feeling: Good · Site: Pain · Headache

Free text: Day of shot site of injection felt chilled and today feels burning slight pain.

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-07-28
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Nausea — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Some nausea and dizziness (usual for me even before booster).

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Survey response — days 1–6 daily, dose 4
MedDRA: Sciatica — Feeling: Good · Joint pains, Muscle or body aches

Free text: Probably left arm/leg sciatica pain (shot was on right arm)

MedDRA releases: 2024-11 · check-in free text available
2022-07-30
Survey response — days 1–6 daily, dose 4
MedDRA: Paranasal sinus discomfort, Sciatica, Sinus pain — Feeling: Good · Headache, Muscle or body aches

Free text: Sinus pain/pressure/sciatica pains neck to feet

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-08-01
Health check-in — day 7, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-08-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-13
Dose 5 — Pfizer-BioNTech
2023-01-14
Survey response — days 1–6 daily, dose 5
MedDRA: Back pain, Body temperature decreased, Dizziness, Headache, Injection site pain, Migraine, Nausea, Pre-existing disease, Vision blurred — Feeling: Fair · Site: Pain · Headache, Nausea

MedDRA releases: 2024-11
2023-01-15
Survey response — days 1–6 daily, dose 5
MedDRA: Abdominal pain upper, Arthralgia, Dizziness, Nausea, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

MedDRA releases: 2024-11
2023-01-16
Survey response — days 1–6 daily, dose 5
MedDRA: Myalgia, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea

MedDRA releases: 2024-11
2023-01-17
Survey response — days 1–6 daily, dose 5
MedDRA: Headache, Sinus pain, Vision blurred — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea

MedDRA releases: 2024-11
2023-01-18
Survey response — days 1–6 daily, dose 5
MedDRA: Headache, Neck pain, Pre-existing disease — Feeling: Good · Headache

MedDRA releases: 2024-11
2023-01-19
Survey response — days 1–6 daily, dose 5
MedDRA: Back pain, Chest pain, Emergency care, Gastrooesophageal reflux disease, Headache, Nausea, Unevaluable event — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-19
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-01-20
Survey response — day 7, dose 5
MedDRA: Gastrointestinal pain, Irritable bowel syndrome — Feeling: Good · Abdominal pain

MedDRA releases: 2024-11
2023-01-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-27
Survey response — day 14, dose 5
MedDRA: Facial pain, Gingival pain, Nasal congestion, Nasopharyngitis, Office visit, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-03
Survey response — day 21, dose 5
MedDRA: Adverse reaction, Increased viscosity of upper respiratory secretion, Influenza virus test negative, Office visit, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative, Self-medication, Sputum discoloured — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-03
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-06
Call 1 — Left Voicemail
2023-02-10
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-02-18
Survey response — day 35, dose 5
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair

MedDRA releases: 2024-11
2023-02-24
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-04-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-20	Pfizer-BioNTech	No
4	2022-07-25	Pfizer-BioNTech	No
5	2023-01-13	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Saw stars a couple of minutes after receiving injection 10:45 am 3/26, but Pharmacist said it was from my extreme anxiety about getting the shot. I took Meclizine 3 min. after shot and it resolved within 5 min. Last night dizzy again, took meclizine before bed. Today, 3/27 dizziness again, took Meclizine 1:45pm. I had pre-existing vertigo and have needed Meclizine for over 15 years now.

2021-03-28

Systemic reaction (other): Still some dizziness, but get it from my computer glasses watching shows on computer much, and my benign positional vertigo

2021-03-30

Systemic reaction (other): Having usual allergy symptoms today (congestion, face dry & itchy, reaction to something I ate (tingling lips & the throat)

Healthcare visit (other): Called allergy office. Waiting for a call back). Appointment on 4/9 to do skin test for ingredient in Pfizer shot.

2021-03-31

Systemic reaction (other): Still have itchiness on face, head, and some other body areas

2021-04-01

Systemic reaction (other): Still itchiness on face, scalp, in nose, ears, and eyes. On neck also. Waiting for my skin allergy test on 9th of April. Will also test me for PEG ingredient in Pfizer vaccine.

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Low back pain and left low abdominal or large intestinal pain worse today after trying a homeopathic allergy medicine yesterday and last night (Genexa). Have been having these pains though regularly for around a year now. MDs cant find whats wrong. (NOT from the vaccine), I believe.

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Saw allergy MD today, 4/9/21 to test if I am allergic to PEG by scratch and needle under skin test which turned up negative. Shes not sure why I had all over body itchiness start 6 hrs after 1st Pfizer shot. May be food allergies or sensitivities.

Healthcare visit (other): Had PEG test at allergy office today

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Took Meclizine 9:50am had shot at 10:47am with no dizziness. Took nap at 1:30pm woke at 2pm feeling dehydrated and dizzy. Drank Pedialyte 6 oz. Now a bit nauseous. Arm felt a little ache at injection site & cold in arm I got shot. Will take another meclizine (it usually works for 6 hours on me)

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Finally slept at 2am today. Had extreme Vertigo with dizziness yesterday night and had to take meclizine 2 times yesterday then at 12:50am today. Was sweating with temperature of 97.3. Today headache, slight nausea, slight dizziness, pain in arm I got 2nd shot shoulder to finger joint pain & hand tingling. Used heating pad on my lower abdomen all night then on arms because I felt chills since yesterday evening (not today).

2021-04-19

Systemic reaction (other): Dizziness all day (took meclizine which helped for a while, but need to take it again for dizziness before bed (11:30pm). Took pepto bismol for nausea just now. Nausea not from shot but from mucus in throat from sinuses. Headache not helped with Tylenol tonight

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Ate smoked salmon on 5/13/21 then allergic reaction of all over itchiness & grogginess. Am allergic or sensitive to many foods, pollens, weeds, all allergy medicines except Benadryl. All not due to any Covid or Pfizer vaccine.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Eye pain, dryness, and sinus pain

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Kidney stone 5X7mm causing pain right side, lower abdominal pain left & right (note: ct showed sacroiliitis, multiple stones (stone former), & Cervical arthritis (all not due to Covid or Covid vaccines). To have a Pfizer booster when I feel better. cut off by CDC

Healthcare visit (other): Had my physical today. Telehealth visit scheduled for this afternoon may have to go to ER

Release 12 — days 1–6 daily, dose 4

2022-07-26

Systemic reaction (other): Day of shot site of injection felt chilled and today feels burning slight pain.

2022-07-28

Systemic reaction (other): Some nausea and dizziness (usual for me even before booster).

2022-07-29

Systemic reaction (other): Probably left arm/leg sciatica pain (shot was on right arm)

2022-07-30

Systemic reaction (other): Sinus pain/pressure/sciatica pains neck to feet

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	Adverse reaction	·	·	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dry eye	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Facial pain	·	·	✓
SD	Flank pain	·	·	✓
SD	Gingival pain	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sacroiliitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Spondylitis	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Body temperature decreased	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Emergency care	·	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Food allergy	✓	✓	✓
SRO	Gastrointestinal pain	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Hallucination, visual	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Injection site coldness	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritable bowel syndrome	·	·	✓
SRO	Medical counselling	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pharyngeal paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sciatica	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus pain	·	·	✓
SRO	Vertigo	✓	✓	✓
SRO	Vision blurred	·	·	✓

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