274-25610-23701

3 vaccinations 15 coded responses 29 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 937 / CA
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not 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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Muscle or body aches

Free text: Hesitation in breathing, a catch. Could be due to bad air quality, but it was something out of the ordinary.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea — Feeling: Good

Free text: Breath catching at times, cough mild - sporatic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Lip swelling, Pyrexia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Had swelling on bottom lip, 101 fever and diarrhea for 4 hrs Saturday nite 5-9pm. No change in diet or environmental factors could explain the episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Gastrointestinal disorder, Gastrointestinal pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intestinal issues : daily cramping and loose stools.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — day 0, dose 2
MedDRA: Paraesthesia oral — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in lower lip

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: Good · Headache

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Had a hive show up on upper left thigh for about 5 hrs then disappeared.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe joints pain in the hips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Cough, Drooling, Salivary hypersecretion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fits of coughing, massive quantity of saliva/drooling.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-27
Dose 3 — Pfizer-BioNTech
2022-01-28
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Shaking

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia, Tremor — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Heartburn, shakes

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Tremor — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shakes, dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Congestion, postnasal drip since day after injection.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — day 7, dose 3
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-25
Survey response — day 28, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cramping in my left calf

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
Survey response — day 35, dose 3
MedDRA: Feeling hot, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen lower legs. Extremely painful, hot.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — day 42, dose 3
MedDRA: Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still can't control the swelling in my legs. Am afraid of possible blood clots. Would go to the Dr but have no transportation and MediCal will not provide.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2022-01-27	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Hesitation in breathing, a catch. Could be due to bad air quality, but it was something out of the ordinary.

2021-04-10

Systemic reaction (other): Breath catching at times, cough mild - sporatic

2021-04-12

Systemic reaction (other): Had swelling on bottom lip, 101 fever and diarrhea for 4 hrs Saturday nite 5-9pm. No change in diet or environmental factors could explain the episode.

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Intestinal issues : daily cramping and loose stools.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Tingling in lower lip

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Had a hive show up on upper left thigh for about 5 hrs then disappeared.

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Severe joints pain in the hips.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Fits of coughing, massive quantity of saliva/drooling.

Release 11 — days 1–6 daily, dose 3

2022-01-28

Systemic reaction (other): Shaking

2022-01-29

Systemic reaction (other): Heartburn, shakes

2022-01-31

Systemic reaction (other): Shakes, dizzy

2022-02-02

Systemic reaction (other): Congestion, postnasal drip since day after injection.

Release 11 — day 28, dose 3

2022-02-25

Symptoms: Bad cramping in my left calf

Release 11 — day 35, dose 3

2022-03-05

Symptoms: Swollen lower legs. Extremely painful, hot.

Release 11 — day 42, dose 3

2022-03-11

Symptoms: Still can't control the swelling in my legs. Am afraid of possible blood clots. Would go to the Dr but have no transportation and MediCal will not provide.

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	Arthralgia	✓	✓	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Drooling	✓	·	✓
SD	Feeling hot	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Salivary hypersecretion	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Tremor	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓
SRO	Urticaria	✓	✓	✓

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