2AP-22222-54665

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 851 / AZ
Registered: 2021-06-23

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

2021-06-19
Dose 1 — Pfizer-BioNTech
2021-06-23
Registered in v-safe
2021-06-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-24
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Lip erythema, Lip pain, Lip swelling, Tenderness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I did have all of the above symptoms severe the whole day after my 1st shot. Forgot to mention that I did have swollen lips with redness and tenderness for 3 days. That swelling is gone today, but I have tenderness and rough patches in and around my

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-26
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-05
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Diarrhoea, Fatigue, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme tiredness and stomach issues such as diarrhea and bloating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Dose 2 — Pfizer-BioNTech
2021-07-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Ear pain, Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Neck and back pain, ear in left ear and swollen gland in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Diarrhea

Adult check-in
2021-07-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-08-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — day 42, dose 2
MedDRA: Anosmia, Parosmia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I lost my sense of smell since after my second vaccine, but didn't think much of it because I lost my sense of smell and taste when I had covid. It slowly returned but never to it's full capacity as it was before. Also having phantom smells of smoke.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-09
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia, Brain fog, COVID-19, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Continued issues with my sense of smell.Lost my sense of smell & taste when I had covid. Sense of smell comes & goes; not as strong. My sense of taste is not as strong. Experiencing fatigue and brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intestinal issues,

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-19	Pfizer-BioNTech	No
2	2021-07-10	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-24

Systemic reaction (other): I did have all of the above symptoms severe the whole day after my 1st shot. Forgot to mention that I did have swollen lips with redness and tenderness for 3 days. That swelling is gone today, but I have tenderness and rough patches in and around my cut off by CDC

Release 9 — day 14, dose 1

2021-07-05

Symptoms: Extreme tiredness and stomach issues such as diarrhea and bloating.

Release 9 — days 1–6 daily, dose 2

2021-07-11

Systemic reaction (other): Neck and back pain, ear in left ear and swollen gland in neck

Release 9 — day 42, dose 2

2021-08-21

Symptoms: I lost my sense of smell since after my second vaccine, but didn't think much of it because I lost my sense of smell and taste when I had covid. It slowly returned but never to it's full capacity as it was before. Also having phantom smells of smoke. cut off by CDC

Release 10 — 3 months, dose 2

2021-10-09

Symptoms: Continued issues with my sense of smell.Lost my sense of smell & taste when I had covid. Sense of smell comes & goes; not as strong. My sense of taste is not as strong. Experiencing fatigue and brain fog.

Release 10 — 6 months, dose 2

2022-01-10

Symptoms: Intestinal issues,

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	Abdominal distension	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	✓	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Parosmia	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lip erythema	✓	✓	✓
SRO	Lip pain	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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