2WJ-30714-80097

5 vaccinations 14 coded responses 32 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 700 / LA
Registered: 2020-12-24

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

2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-24
Registered in v-safe
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sinus draining more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Constipation — Feeling: Fair

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-27
Survey response — day 14, dose 2
MedDRA: Chills, Feeling cold — Feeling: Fair

Free text: On the night after the vaccine around 12 midnight I experienced severe shivering, feeling very cold for about 30 minutes. Stopped than another2-3 minutes. I took( 2 )500mg tylenol and eventually went back to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-06
Survey response — day 42, dose 3
MedDRA: Cough, Paranasal sinus hypersecretion, Pre-existing disease — Feeling: Fair

Free text: Sinus drainage, sometimes make me cough more,allergies.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-22
Survey response — 6 months, dose 3
MedDRA: Increased upper airway secretion, Paranasal sinus hypersecretion — Feeling: Fair

Free text: I continue to have a sinus drip and phlegm in my throat daily.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 14, dose 4
MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sometimes cough with sinus drainage.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — day 21, dose 4
MedDRA: Fatigue, Sleep disorder — Feeling: Fair

Free text: Feeling more tired. Sleep pattern a little off.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Survey response — day 42, dose 4
MedDRA: Cough, Musculoskeletal discomfort, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair

Free text: Cough periodically. Nasal drip and chest conjestion. Little joint discomfort.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-29
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-29
Survey response — 6 months, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Having a lot more knee pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — day 7, dose 5
MedDRA: Chills, Pyrexia — Feeling: Fair · Chills, Joint pains

Free text: Within 24 hours of vaccines I experienced chills for 45 minutes. Feverish also.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — day 14, dose 5
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Right hand gets numb.

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Survey response — day 28, dose 5
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair

Free text: Continuous sinus drainage.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 35, dose 5
MedDRA: Arthralgia — Feeling: Fair

Free text: Bilateral knee pain more.

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-02
Survey response — 6 months, dose 5
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-08-24	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-09-29	Pfizer-BioNTech	Flu

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Sinus draining more

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Constipation

Release 2 — day 14, dose 2

2021-01-27

Symptoms: On the night after the vaccine around 12 midnight I experienced severe shivering, feeling very cold for about 30 minutes. Stopped than another2-3 minutes. I took( 2 )500mg tylenol and eventually went back to sleep.

Release 10 — day 42, dose 3

2021-10-06

Symptoms: Sinus drainage, sometimes make me cough more,allergies.

Release 11 — 6 months, dose 3

2022-02-22

Symptoms: I continue to have a sinus drip and phlegm in my throat daily.

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Sometimes cough with sinus drainage.

Release 11 — day 21, dose 4

2022-04-20

Symptoms: Feeling more tired. Sleep pattern a little off.

Release 11 — day 42, dose 4

2022-05-11

Symptoms: Cough periodically. Nasal drip and chest conjestion. Little joint discomfort.

Release 12 — 6 months, dose 4

2022-09-29

Symptoms: Having a lot more knee pain.

Release 12 — day 7, dose 5

2022-10-08

Systemic reaction (other): Within 24 hours of vaccines I experienced chills for 45 minutes. Feverish also.

Release 12 — day 14, dose 5

2022-10-13

Symptoms: Right hand gets numb.

Release 12 — day 28, dose 5

2022-10-27

Symptoms: Continuous sinus drainage.

Release 12 — day 35, dose 5

2022-11-03

Symptoms: Bilateral knee pain more.

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	Chills	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Chills	·	·	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Upper-airway cough syndrome	○	○	○

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