2HX-34945-21255

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 294 / SC
Registered: 2021-01-07

Relationship: Self
Race: Other
Ethnicity: 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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-07
Survey response — day 0, dose 1
MedDRA: Lip swelling, Mouth swelling — Feeling: Fair

Free text: swollen lips and swelling on the inside corner of mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dizziness, Syncope — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: dizzy weak and faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Breast pain, Breast swelling, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: pain and swelling lump near left underarm/gland/breast/lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Breast swelling, Chest discomfort, Chest pain, Lymph node pain, Lymphadenopathy, Oedema peripheral, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: pressure pain and swelling to left arm, underarm, gland, breast and chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Asthenia, Chills, Fatigue, Headache, Herpes zoster, Lymphadenopathy, Nausea, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: headache, swollen lymph nodes, chills, shingles rash, palpitations, fatigue, weakness, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Back pain, Blister, Ear pain, Erythema, Facial pain, Fatigue, Lymphadenopathy, Pain in extremity, Pain of skin, Pruritus, Scab — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful itchy red scab blisters on scalp, head, back of ear. face neck, back, arms and legs. Swollen glands Night sweats But no feverTired and Fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Amnesia, Dysuria, Fatigue, Headache, Muscular weakness, Pain, Rash, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigued and sleepy all the times. Leg weakness, body aches and headaches Trouble urinating Skin rash/breakouts Difficulty remembering things

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Disturbance in attention, Fatigue, Hypersensitivity, Immediate post-injection reaction, Pyrexia, Rash, Rash vesicular, Scar, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Immediately after receiving the second vaccine a blistering rash (hives) began all over my body with a high fever It was deemed an allergic reaction Still fatigued and loss of concentration and unsightly scars

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): swollen lips and swelling on the inside corner of mouth

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): dizzy weak and faint

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): pain and swelling lump near left underarm/gland/breast/lymph node

2021-01-29

Systemic reaction (other): pressure pain and swelling to left arm, underarm, gland, breast and chest

Release 3 — day 14, dose 2

2021-02-09

Symptoms: headache, swollen lymph nodes, chills, shingles rash, palpitations, fatigue, weakness, nausea

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Painful itchy red scab blisters on scalp, head, back of ear. face neck, back, arms and legs. Swollen glands Night sweats But no feverTired and Fatigued

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Fatigued and sleepy all the times. Leg weakness, body aches and headaches Trouble urinating Skin rash/breakouts Difficulty remembering things

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Immediately after receiving the second vaccine a blistering rash (hives) began all over my body with a high fever It was deemed an allergic reaction Still fatigued and loss of concentration and unsightly scars

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	Amnesia	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blister	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Disturbance in attention	·	·	✓
SD	Dysuria	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Facial pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscular weakness	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	·	✓
SD	Rash vesicular	·	·	✓
SD	Scab	✓	✓	✓
SD	Scar	·	·	✓
SD	Somnolence	✓	·	✓
SD	Urticaria	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Syncope	✓	✓	✓

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