2C6-29636-38398

2 vaccinations 16 coded responses 22 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 891 / NV
Registered: 2021-05-16

Relationship: Self
Race: Asian
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

2021-05-16
Registered in v-safe
2021-05-16
Dose 1 — Pfizer-BioNTech
2021-05-16
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Immediate post-injection reaction, Movement disorder — Feeling: Good · Site: Pain

Free text: I felt like floating in the air, kinda slow motion 15 minutes after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: It was a little rash on left cheek. I felt like Im floating up on the air again for a split seconds this evening then it went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: I have running nose late afternoon & in the evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good

Free text: I had leg cramps in one leg at 4 am today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Formication, Injection site reaction, Paraesthesia — Feeling: Good

Free text: Had a sensation like a worm or bug was crawling around the injection site & when I touch it there was nothing there. Then it triggered again the sensation of a worm crawling around the injection site that lasted approximately 2 minutes. At the same time I was feeling tingling on the injected arm, the whole left lateral arm down to 4th & 5th fingers which also lasted approximately 2-3 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphonia, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: I have running nose, & hoarse voice. I feel like Im catching a flu.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 7, dose 1
MedDRA: Bone pain — Feeling: Fair

Free text: Just feeling bone pain most of the night both lower legs & feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 14, dose 1
MedDRA: Chest pain, Neuralgia, Oral pain — Feeling: Good

Free text: I think on the 8th day, all of a sudden I had severe nerve pain on 1/2 of my mouth, right side upper & lower teeth then severe chest pain lasted 5-10 min. Fortunately, my son was here & helped me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Dose 2 — Pfizer-BioNTech
2021-06-06
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None at this moment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: Nothing at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Nothing. Thanks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — day 7, dose 2
MedDRA: Swelling face, Swelling of eyelid — Feeling: Good

Free text: I noticed a little swelling on left upper cheek & left upper eyelid last night & today. Thats all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-05
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Dizziness, Fatigue, Nausea, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Feeling very tired, body aches, dizzy, nausea, epigastric pain. Symptoms lasted almost 2 weeks. I took Tylenol 1000mg x 1 only.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-16	Pfizer-BioNTech
2	2021-06-06	Pfizer-BioNTech

Free text

Release 8 — day 0, dose 1

2021-05-16

Systemic reaction (other): I felt like floating in the air, kinda slow motion 15 minutes after the vaccine.

Release 8 — days 1–6 daily, dose 1

2021-05-17

Systemic reaction (other): It was a little rash on left cheek. I felt like Im floating up on the air again for a split seconds this evening then it went away.

2021-05-18

Systemic reaction (other): I have running nose late afternoon & in the evening.

2021-05-19

Systemic reaction (other): I had leg cramps in one leg at 4 am today.

2021-05-20

Systemic reaction (other): Had a sensation like a worm or bug was crawling around the injection site & when I touch it there was nothing there. Then it triggered again the sensation of a worm crawling around the injection site that lasted approximately 2 minutes. At the same time I was feeling tingling on the injected arm, the whole left lateral arm down to 4th & 5th fingers which also lasted approximately 2-3 min.

2021-05-21

Systemic reaction (other): I have running nose, & hoarse voice. I feel like Im catching a flu.

Release 8 — day 7, dose 1

2021-05-23

Systemic reaction (other): Just feeling bone pain most of the night both lower legs & feet.

Release 8 — day 14, dose 1

2021-05-30

Symptoms: I think on the 8th day, all of a sudden I had severe nerve pain on 1/2 of my mouth, right side upper & lower teeth then severe chest pain lasted 5-10 min. Fortunately, my son was here & helped me.

Release 8 — day 0, dose 2

2021-06-06

Systemic reaction (other): None at this moment.

Release 8 — days 1–6 daily, dose 2

2021-06-07

Systemic reaction (other): None

2021-06-08

Systemic reaction (other): None at this time.

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Nothing at this time.

2021-06-11

Systemic reaction (other): Nothing. Thanks.

2021-06-12

Systemic reaction (other): None

Release 9 — day 7, dose 2

2021-06-13

Systemic reaction (other): I noticed a little swelling on left upper cheek & left upper eyelid last night & today. Thats all.

Release 10 — 6 months, dose 2

2021-12-05

Symptoms: Feeling very tired, body aches, dizzy, nausea, epigastric pain. Symptoms lasted almost 2 weeks. I took Tylenol 1000mg x 1 only.

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 pain upper	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Nausea	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Oral pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Self-medication	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Formication	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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