2TM-13204-48798

2 vaccinations 10 coded responses 12 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 959 / CA
Registered: 2020-12-29

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-29
Registered in v-safe
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Crying, Depression, Lacrimation increased, Nasal congestion, Nightmare, Swelling face — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea

Free text: Nightmares, woke up with depression ( crying, feelings of doom) allergy like congestion ( face swollen, nose congested, watery eyes)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Conjunctivitis — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Pink eye like symptom in one eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Depression, Ocular hyperaemia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Severe depression. Pink eye like symptom in one eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Depression, Suicidal ideation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression. Suicidal thoughts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — day 7, dose 1
MedDRA: Anxiety, Depression — Feeling: Fair

Free text: Depression and unusual anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Injection site pain, Respiratory tract congestion, Swelling face — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible pain in my whole deltoid muscle in the front and back. Swelling/congestion on the right side of sinus/face. Same side as shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — day 14, dose 2
MedDRA: Injection site pain, Myalgia — Feeling: Good

Free text: Reoccuring pain/constant ache at injection site and deltoid muscle on that side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain in deltoid muscle( injection side) that hurts at night or cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — 3 months, dose 2
MedDRA: Blister, Thermal burn — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ive gotten 2 minor burns and theyve healed strangely. I'm going to see a dermatologist. The mild blisters, 2 seperate ones on two seperate incidents, healed into large masses of cells. Like aggressive healing response.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Cough, sore throat, fever

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech

Call center

5 call center cases

1 unsuccessful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Nightmares, woke up with depression ( crying, feelings of doom) allergy like congestion ( face swollen, nose congested, watery eyes)

2020-12-30

Systemic reaction (other): Pink eye like symptom in one eye

2020-12-31

Systemic reaction (other): Severe depression. Pink eye like symptom in one eye

2021-01-01

Systemic reaction (other): Depression. Suicidal thoughts

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Depression and unusual anxiety

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Terrible pain in my whole deltoid muscle in the front and back. Swelling/congestion on the right side of sinus/face. Same side as shot.

Release 3 — day 14, dose 2

2021-02-05

Symptoms: Reoccuring pain/constant ache at injection site and deltoid muscle on that side.

Release 5 — day 42, dose 2

2021-03-05

Symptoms: Pain in deltoid muscle( injection side) that hurts at night or cold.

Release 7 — 3 months, dose 2

2021-04-25

Symptoms: Ive gotten 2 minor burns and theyve healed strangely. I'm going to see a dermatologist. The mild blisters, 2 seperate ones on two seperate incidents, healed into large masses of cells. Like aggressive healing response.

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Cough, sore throat, fever

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	Arthralgia	✓	✓	✓
SD	Blister	✓	✓	✓
SD	Cough	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	○	✓	○
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Thermal burn	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Conjunctivitis	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	○	○	○
SRO	Depression	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Suicidal ideation	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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