263-14055-30603

4 vaccinations 9 coded responses 44 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 280 / NC
Registered: 2021-04-01

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face, Swollen tongue — Feeling: Good · Headache

Free text: On the second day I experienced facial amd tongue swelling when waking up after about an hour the swelling was pretty much gone. It wasn't bad, I didn't even need to take a Benedryl. It was probably more puffy looking than swollen. It didnt cause any breathing problems.I have angioedema buwelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Lethargy, Self-medication — Feeling: Good

Free text: Extremely lethargic when I first wake up, I feel as if I've taken a Nyquil sleep aid. It lasts for about 2-3hrs. It started two days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Lethargy, Pain in extremity, Pyrexia, Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: The first day i was sleepy and felt lethargic and weak. The second day I felt feverish and sleepy. Today I feel normal. Just arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Immediate post-injection reaction, Lip swelling, Paraesthesia, Swelling face — Feeling: Good · Fatigue or tiredness

Free text: I forgot to mention about 45 minutes after vaccination my cheeks were tingly and my lips and cheeks were puffy. Thd puffiness and tingling went away after another 2 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy, my skin is itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Constipation — Feeling: Good

Free text: Horrible pms, constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-28
Dose 3 — Moderna
2021-12-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Abdominal pain

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Fever · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose Cough Fever

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Dose 4 — Moderna
2022-12-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 12 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Influenza, Productive cough — 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: I had the flu the last week of October. I developed a cough towards the end of the first week of November. The cough persistently got worse and I lost the ability to smell and taste. I would cough up pungent phlegm. This lasted until mid December.

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 12 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)
2022-12-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-30
Call 2 — Left Voicemail
2023-01-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-04
Survey response — 6 months, dose 4
MedDRA: Migraine, Office visit — 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 · Hospitalization

MedDRA releases: 2024-11
2023-06-04
Call case (no matching report) — Unsuccessful
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-12-28	Moderna	No
4	2022-12-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): On the second day I experienced facial amd tongue swelling when waking up after about an hour the swelling was pretty much gone. It wasn't bad, I didn't even need to take a Benedryl. It was probably more puffy looking than swollen. It didnt cause any breathing problems.I have angioedema buwelling

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Extremely lethargic when I first wake up, I feel as if I've taken a Nyquil sleep aid. It lasts for about 2-3hrs. It started two days ago.

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): The first day i was sleepy and felt lethargic and weak. The second day I felt feverish and sleepy. Today I feel normal. Just arm pain

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): I forgot to mention about 45 minutes after vaccination my cheeks were tingly and my lips and cheeks were puffy. Thd puffiness and tingling went away after another 2 hours.

2021-04-27

Systemic reaction (other): Itchy, my skin is itchy

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Horrible pms, constipation

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: Runny nose Cough Fever

Release 12 — 12 months, dose 3

2022-12-29

Symptoms: I had the flu the last week of October. I developed a cough towards the end of the first week of November. The cough persistently got worse and I lost the ability to smell and taste. I would cough up pungent phlegm. This lasted until mid December. cut off by CDC

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	Office visit	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Constipation	✓	✓	✓
SD	Cough	·	·	✓
SD	Influenza	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Migraine	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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