2JL-53013-07823

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 995 / AK
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 1
MedDRA: Chills, Feeling hot, Hyperhidrosis, Limb discomfort, Nausea — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Felt so hot, instantly extreme heat radiating from me and instantly clothes soaked in sweat. Nausea at same time, had to sit down for a few minutes. Happened 6 hrs after receiving vaccine. Have had chills off and on since then over the past hour. Vaccine arm feels heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Heavy menstrual bleeding, Polymenorrhoea, Thrombosis — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: Forgot to report on Monday (3rd day post shot):Period was a day early (Im on the pill and it is never early), and is extremely heavy with clots. Usually very light and no clots. Usually lasts 4 days. Im on day 4 today and still very heavy. The only change is the shot I got Friday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival bleeding, Gingival pain, Gingival swelling — Feeling: Good · Site: Pain, Swelling · Fever · Chills

Free text: Swollen and bleeding and painful gums

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Diarrhea, Abdominal pain

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · Chills

Free text: Brain fog (difficulty concentrating)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Heavy menstrual bleeding, Thrombosis — Feeling: Good

Free text: Heavier than usual periods with large and small clots in them. Never had clots or heavy periods prior to covid vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Felt so hot, instantly extreme heat radiating from me and instantly clothes soaked in sweat. Nausea at same time, had to sit down for a few minutes. Happened 6 hrs after receiving vaccine. Have had chills off and on since then over the past hour. Vaccine arm feels heavy

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Forgot to report on Monday (3rd day post shot):Period was a day early (Im on the pill and it is never early), and is extremely heavy with clots. Usually very light and no clots. Usually lasts 4 days. Im on day 4 today and still very heavy. The only change is the shot I got Friday.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Swollen and bleeding and painful gums

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Brain fog (difficulty concentrating)

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Heavier than usual periods with large and small clots in them. Never had clots or heavy periods prior to covid vaccine

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	Heavy menstrual bleeding	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Gingival bleeding	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Gingival swelling	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Polymenorrhoea	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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