2DN-96038-41866

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-02-24

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Hypoaesthesia oral, Self-medication, Vision blurred — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: The swelling feels more like water retention or a mild allergic reaction. So i am taking a 5mg of certizine hydrochloride tablet. Right after my shot, my lips felt a little numb and my vision was a little cloudy. The vision cleared in about 30 minutes, but the slight numb ness in lips has taken 24 hours. got my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal disorder — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I find that I feel restful and I am not as nasal as i had been in previous days. I actually feel good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Fatigue, Lip dry, Lip exfoliation, Pain, Pruritus — Feeling: Good

Free text: Mild Itching, dry scaling lips and around the mouth and mild moving bodily aches. Mild Tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Headache, Nausea, Pre-existing disease, Secretion discharge, Self-medication, Vision blurred — Feeling: Fair

Free text: I am experiencing allergies, headaches, dryness more accompanied with mucus and some blurred vision and a little nausea in the morning. It tends to clear as i get sun/air? I take allergy pills and omeprazole for my stomach. ailments have highten

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Alopecia, Cataract, Dry skin, Eczema, Headache, Hypersensitivity, Office visit, Pre-existing disease, Pruritus, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increase in allergy flare up from eczema to dry itchy scalp, headaches and loss of hair and decrease in vision, i do have small growth of cataracts · Healthcare visit (other): Doctor in person visits

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: I took the booster in October 2021 and I still have pain from time to time in that left arm and pain in my right arm from the flu shot...is that normal.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): None

2021-02-26

Systemic reaction (other): The swelling feels more like water retention or a mild allergic reaction. So i am taking a 5mg of certizine hydrochloride tablet. Right after my shot, my lips felt a little numb and my vision was a little cloudy. The vision cleared in about 30 minutes, but the slight numb ness in lips has taken 24 hours. got my shot

2021-02-27

Systemic reaction (other): I find that I feel restful and I am not as nasal as i had been in previous days. I actually feel good.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Mild Itching, dry scaling lips and around the mouth and mild moving bodily aches. Mild Tiredness.

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: I am experiencing allergies, headaches, dryness more accompanied with mucus and some blurred vision and a little nausea in the morning. It tends to clear as i get sun/air? I take allergy pills and omeprazole for my stomach. ailments have highten

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Increase in allergy flare up from eczema to dry itchy scalp, headaches and loss of hair and decrease in vision, i do have small growth of cataracts

Healthcare visit (other): Doctor in person visits

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: I took the booster in October 2021 and I still have pain from time to time in that left arm and pain in my right arm from the flu shot...is that normal.

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	Alopecia	·	·	✓
SD	Cataract	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dry skin	·	·	✓
SD	Eczema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Lip dry	✓	✓	✓
SD	Lip exfoliation	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Visual impairment	·	·	✓
SRO	Dysphagia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Nasal disorder	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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