2NT-25388-74958

4 vaccinations 14 coded responses 47 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 208 / MD
Registered: 2021-04-16

Relationship: Self
Race: Black or African American
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

2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Site: Pain · Headache · Be unable to work

Free text: Numb pain in left leg overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Good · Site: Pain

Free text: Numbness in my cheeks, tongue, and jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period is 3 weeks late, and Im sure Im not pregnant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 21, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: I still havent had my period, which I expected 3-4 weeks ago. I know Im not pregnant and usually am usually on schedule.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 28, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: I still dont have my period. I expected it in early May and am not pregnant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a cold in June, for which I was not tested, but my husband had it first and tested negative. I have a cold now and tested negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Menstruation irregular, Nasopharyngitis — Feeling: Fair

Free text: Irregularly spaced periods A few colds

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Feeling faint

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Survey response — day 14, dose 3
MedDRA: Sinus congestion — Feeling: Fair

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Survey response — day 28, dose 3
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache. Nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 42, dose 3
MedDRA: Hypomenorrhoea, Nipple pain, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: Extremely sore nipples for over a week. This happened after one of my other doses. My last menstration was very light and short. I'm not pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Non-COVID cold

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Dose 4 — Moderna
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Sore and swollen armpit gland since Sept. 24

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Sore and swollen armpit gland on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	No
4	2022-09-23	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Numb pain in left leg overnight

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Numbness in my cheeks, tongue, and jaw

Release 8 — day 14, dose 2

2021-05-20

Symptoms: My period is 3 weeks late, and Im sure Im not pregnant.

Release 8 — day 21, dose 2

2021-05-27

Symptoms: I still havent had my period, which I expected 3-4 weeks ago. I know Im not pregnant and usually am usually on schedule.

Release 8 — day 28, dose 2

2021-06-03

Symptoms: I still dont have my period. I expected it in early May and am not pregnant.

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: I had a cold in June, for which I was not tested, but my husband had it first and tested negative. I have a cold now and tested negative.

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Irregularly spaced periods A few colds

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Feeling faint

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Sinus congestion

Release 10 — day 28, dose 3

2022-01-07

Symptoms: Severe headache. Nausea.

Release 10 — day 42, dose 3

2022-01-20

Symptoms: Extremely sore nipples for over a week. This happened after one of my other doses. My last menstration was very light and short. I'm not pregnant.

Release 12 — 6 months, dose 3

2022-06-09

Symptoms: Non-COVID cold

Release 12 — days 1–6 daily, dose 4

2022-09-26

Systemic reaction (other): Sore and swollen armpit gland since Sept. 24

2022-09-27

Systemic reaction (other): Sore and swollen armpit gland on injection side

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	Headache	·	·	✓
SD	Hypomenorrhoea	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nausea	·	·	✓
SD	Nipple pain	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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