2FN-14047-57029

1 vaccination 8 coded responses 8 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 931 / CA
Registered: 2021-03-05

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Myalgia, Nausea, Painful respiration, Renal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches

Free text: Have occasional quesy stomach. Have muscle pains in left chest and down to left kidney area whenever I deep breathe or cough. I weigh 104 pounds and received a full dose of the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Musculoskeletal chest pain, Myalgia, Painful respiration, Sneezing — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Still having muscle pains in my left chest. Pain with deep breathing, coughing, sneezing. Also, muscles on left side of body, including back, are tender. As yesterday it is painful in chest to reach out or carry items. I believe the intercostal muscles are affected. The vaccine was given in my left arm. I again, weigh only104 pounds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Cough, Dyspnoea, Musculoskeletal chest pain, Sneezing — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Free text: Still have sharp pains in left chest(side of the injection)with coughing, sneezing, blowing of nose. Less pain when deep breathing. Tenderness of left chest, especially from the breast and upwards.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Cough, Myalgia, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: Sharp muscle pains left upper chest area with coughing, sneezing, blowing nose. A gnawing pain left upper chest when at rest, at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Cough, Pain — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Left upper chest muscle pain with coughing, blowing nose. Pain at moderate level. Last 5 days pain was sharp, severe. Moderate pain when moving from lying down position, to arising when getting off left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 1
MedDRA: Chest pain, Cough, Dyspnoea, Pain, Rhinorrhoea, Sneezing — Feeling: Good · Site: Itching · Headache, Muscle or body aches

Free text: When awakening, moderate pain with deep breathing. Mild to moderate left chest pain with coughing, sneezing, blowing nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 1
MedDRA: Cough, Dysphagia, Fatigue, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations, followed by a spontaneous cough that ends the palpitations. A pervasive all body feeling of being subdued, 24/7, as if I had been medicated with a tranquilizer. Difficulty swallowing pills and food. They just sit in esophagus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Survey response — 6 months, dose 1
MedDRA: Arrhythmia, Cerebrovascular accident, Medical counselling, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart arrhrythmias and stroke. · Healthcare visit (other): I assisted myself. I am a health care professional. Also, in contact with my medical doctor.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Could Not Reach Participant
2021-09-14
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Have occasional quesy stomach. Have muscle pains in left chest and down to left kidney area whenever I deep breathe or cough. I weigh 104 pounds and received a full dose of the vaccine.

2021-03-06

Systemic reaction (other): Still having muscle pains in my left chest. Pain with deep breathing, coughing, sneezing. Also, muscles on left side of body, including back, are tender. As yesterday it is painful in chest to reach out or carry items. I believe the intercostal muscles are affected. The vaccine was given in my left arm. I again, weigh only104 pounds.

2021-03-07

Systemic reaction (other): Still have sharp pains in left chest(side of the injection)with coughing, sneezing, blowing of nose. Less pain when deep breathing. Tenderness of left chest, especially from the breast and upwards.

2021-03-08

Systemic reaction (other): Sharp muscle pains left upper chest area with coughing, sneezing, blowing nose. A gnawing pain left upper chest when at rest, at times.

2021-03-09

Systemic reaction (other): Left upper chest muscle pain with coughing, blowing nose. Pain at moderate level. Last 5 days pain was sharp, severe. Moderate pain when moving from lying down position, to arising when getting off left side.

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): When awakening, moderate pain with deep breathing. Mild to moderate left chest pain with coughing, sneezing, blowing nose.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Heart palpitations, followed by a spontaneous cough that ends the palpitations. A pervasive all body feeling of being subdued, 24/7, as if I had been medicated with a tranquilizer. Difficulty swallowing pills and food. They just sit in esophagus.

Release 9 — 6 months, dose 1

2021-09-02

Symptoms: Heart arrhrythmias and stroke.

Healthcare visit (other): I assisted myself. I am a health care professional. Also, in contact with my medical doctor.

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	Medical counselling	✓	·	✓
HCVO	Self-medication	✓	·	✓
SD	Arrhythmia	✓	·	✓
SD	Cerebrovascular accident	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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