2PW-17023-54706

4 vaccinations 8 coded responses 32 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 913 / CA
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Two spots on the top of my foot near the big toe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Premenstrual syndrome — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Almost PMS like symptoms even though my mensuration ended the day before my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache

Free text: Muscle spasm in bicep

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Amenorrhoea — Feeling: Good

Free text: I havent had my menstrual cycle since getting the first dose of the vaccine .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, dose 2
MedDRA: Injection site reaction, Muscle twitching — Feeling: Good

Free text: Muscle twitch at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-09-27
Dose 4 — Pfizer-BioNTech
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in left armpit below site in left arm where injection took place . All joints achy . Low back ankle Great toe and thumb joints painful

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Left armpit under the injection site the lymph nodes areTender and sore

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-11-02
Survey response — day 35, dose 4
MedDRA: Injection site pain, Myalgia — Feeling: Fair

Free text: Left arm continues to hurt near the injection site . General sore and achy in the muscles for extended period

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No
4	2022-09-27	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Two spots on the top of my foot near the big toe

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Almost PMS like symptoms even though my mensuration ended the day before my vaccine

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Muscle spasm in bicep

Release 8 — day 21, dose 2

2021-04-29

Symptoms: I havent had my menstrual cycle since getting the first dose of the vaccine .

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Muscle twitch at the injection site

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Swollen lymph nodes in left armpit below site in left arm where injection took place . All joints achy . Low back ankle Great toe and thumb joints painful

2022-09-30

Systemic reaction (other): Left armpit under the injection site the lymph nodes areTender and sore

Release 12 — day 35, dose 4

2022-11-02

Symptoms: Left arm continues to hurt near the injection site . General sore and achy in the muscles for extended period

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	Amenorrhoea	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Injection site reaction	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Myalgia	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Premenstrual syndrome	✓	✓	✓

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