26X-12632-00363

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 021 / MA
Registered: 2021-04-24

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 1
MedDRA: Dizziness, Paraesthesia — Feeling: Fair · Site: Pain · Chills

Free text: Dizziness and some tingling in my toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Ear pain, Neck pain — Feeling: Good · Site: Pain

Free text: Pain inside my armpit (of the arm that got the shot) and under my ears/in my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Epistaxis — Feeling: Fair · Site: Pain · Headache

Free text: Nosebleed, pain inside armpit on the arm that got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-05-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Pfizer-BioNTech
2021-05-18
Survey response — day 0, dose 2
MedDRA: Dry throat — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Very dry throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-01
Survey response — day 14, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Really strong back pain that came and went in one evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Left leg and left foot toes go numb or tingly sometimes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Skin rashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — day 42, dose 2
MedDRA: Headache, Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: I got a killer, debilitating headache or migraine (Im not sure) a few days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-18
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Fair

Free text: Shortness of breath, heart beats very strongly at random

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Pfizer-BioNTech
2	2021-05-18	Pfizer-BioNTech

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): Dizziness and some tingling in my toes

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Pain inside my armpit (of the arm that got the shot) and under my ears/in my neck

2021-04-27

Systemic reaction (other): Nosebleed, pain inside armpit on the arm that got the shot

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): Very dry throat

Release 8 — day 14, dose 2

2021-06-01

Symptoms: Really strong back pain that came and went in one evening

Release 8 — day 21, dose 2

2021-06-08

Symptoms: Left leg and left foot toes go numb or tingly sometimes

Release 9 — day 35, dose 2

2021-06-22

Symptoms: Skin rashes

Release 9 — day 42, dose 2

2021-06-30

Symptoms: I got a killer, debilitating headache or migraine (Im not sure) a few days ago.

Release 11 — 12 months, dose 2

2022-05-18

Symptoms: Shortness of breath, heart beats very strongly at random

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	Back pain	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Rash	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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