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2WX-21480-10604

3 vaccinations 27 coded responses 38 check-ins 26 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
442 / OH
Registered
2021-08-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-09
    Registered in v-safe
  2. 2021-08-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-09
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  4. 2021-08-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Be unable to work or attend school
    Free text: FYI- I have a history of PVCs during stress or before, during, and after my period. Since I got the shot, I had 1 PVC today that I know. It could be mainly from hormones since my period is due soon. Just mentioning it.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ventricular extrasystoles — Feeling: Good · Site: Pain · Be unable to work or attend school
    Free text: 1 PVC today so far
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  7. 2021-08-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysmenorrhoea, Fatigue — Feeling: Fair · Site: Pain
    Free text: Started my period today so cramps & tired
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysmenorrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Have my period, tired and cramps
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-16
    Survey response — day 7, dose 1
    MedDRA: Dysmenorrhoea — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Period-related pain & symptoms
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-08-23
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Eye pain, Head discomfort, Migraine, Office visit, Pre-existing disease — Feeling: Fair
    Free text: Some eye pain due to pressure headache/ migraine symptoms. Reported my symptoms to my eye specialist, since I have an enlarged blind spot already from years past. Also noticed some extra joint pain, off and on.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-30
    Dose 2 — Pfizer-BioNTech
  13. 2021-08-30
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-08-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness · 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: Swelling/pain under left arm - lymph nodes probably
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-09-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Chest pain, Dyspepsia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Upper back pain and chest pain. Indigestion most likely. Will seek help if it doesnt go away.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-09-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain, Itching · 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: Underarm lymph node pain/swelling, left whole arm pain intermittently
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-09-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Lymph node swelling under arm also
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Lymph node under arm
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Lymph node under arm
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-06
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Lymph node under arm
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-13
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: A little bit sore on arm today.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-20
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-09-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-11
    Survey response — day 42, dose 2
    MedDRA: Parosmia — Feeling: Good
    Free text: Weird smell in my throat/nose
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-30
    Survey response — 3 months, dose 2
    MedDRA: Bronchitis, Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Contracted a virus (supposedly not Covid) that caused severe bronchitis for over a month. Still recovering.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-30
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  28. 2021-11-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2022-02-05
    Dose 3 — Pfizer-BioNTech
  30. 2022-02-06
    Health check-in — days 1–6 daily, dose 3
    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
    Adult check-in
  31. 2022-02-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Forgot to say swollen lymph nodes yesterday. Swollen lymph nodes under arm area/breast area.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dry eye, Eye irritation, Lymph node pain, Lymphadenopathy, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Forgot to report on day 1 & 2: I had dry eyes/burning when they water. Off and on throughout my first 1-3 days. Lymph node swelling and pain under arm all the days since shot. Fevers day 2-3. None today so far.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-02-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dry eye, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Lymph node under arm still swollen. Mild eye dryness
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Lymph node still swollen/painful under arm.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-02-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Lymph node improving but still there.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-12
    Survey response — day 7, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: I have my period so I'm achey and not feeling good. Still have lymph node under arm but is more mild now.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-02-19
    Survey response — day 14, dose 3
    MedDRA: Palpitations, Pre-existing disease — Feeling: Good
    Free text: I started and ended my period in the last 1-2 wks and had a few PVCs which can be normal for me during those times. But basically heart palpitations, 1-2 at a time and not for long. Just wanted to report it.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-02-26
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  39. 2022-03-05
    Survey response — day 28, dose 3
    MedDRA: Migraine, Office visit, Pre-existing disease, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Visual disturbance/migraine. I saw my specialist due to it. Possible very slight expansion of my existing enlarged blind spot in left eye. · Healthcare visit (other): Neuro-Optho Specialist
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-03-05
    Report sent to call center — day 28, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  41. 2022-03-08
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  42. 2022-03-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-07
    Survey response — 3 months, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: The blindness in my left eye expanded in visual field slightly. The doctor doesn't believe it's related to the vaccines, but honestly would they ever say that it did? Then they'd all be liable for pressuring everyone who was unsure about getting it.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-08-06
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis, Visual field defect — Feeling: Good
    Free text: I got a head cold a few weeks ago. Fully recovered. I also had expansion of an enlarged blind spot in the left eye. I'm under a specialists care for that. No one will admit that my eye could have changed due to having my 3rd Covid shot.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2023-02-05
    Survey response — 12 months, dose 3
    MedDRA: Blindness unilateral, Office visit, Ventricular extrasystoles — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-08-09Pfizer-BioNTech No
22021-08-30Pfizer-BioNTech No
32022-02-05Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-10

Systemic reaction (other): FYI- I have a history of PVCs during stress or before, during, and after my period. Since I got the shot, I had 1 PVC today that I know. It could be mainly from hormones since my period is due soon. Just mentioning it.

2021-08-11

Systemic reaction (other): 1 PVC today so far

2021-08-13

Systemic reaction (other): Started my period today so cramps & tired

2021-08-14

Systemic reaction (other): Have my period, tired and cramps

Release 9 — day 7, dose 1

2021-08-16

Systemic reaction (other): Period-related pain & symptoms

Release 9 — day 14, dose 1

2021-08-23

Symptoms: Some eye pain due to pressure headache/ migraine symptoms. Reported my symptoms to my eye specialist, since I have an enlarged blind spot already from years past. Also noticed some extra joint pain, off and on.

Release 9 — days 1–6 daily, dose 2

2021-08-31

Systemic reaction (other): Swelling/pain under left arm - lymph nodes probably

2021-09-01

Systemic reaction (other): Upper back pain and chest pain. Indigestion most likely. Will seek help if it doesnt go away.

2021-09-02

Systemic reaction (other): Underarm lymph node pain/swelling, left whole arm pain intermittently

2021-09-03

Systemic reaction (other): Lymph node swelling under arm also

2021-09-04

Systemic reaction (other): Lymph node under arm

2021-09-05

Systemic reaction (other): Lymph node under arm

Release 9 — day 7, dose 2

2021-09-06

Systemic reaction (other): Lymph node under arm

Release 9 — day 14, dose 2

2021-09-13

Symptoms: A little bit sore on arm today.

Release 10 — day 42, dose 2

2021-10-11

Symptoms: Weird smell in my throat/nose

Release 10 — 3 months, dose 2

2021-11-30

Symptoms: Contracted a virus (supposedly not Covid) that caused severe bronchitis for over a month. Still recovering.

Release 11 — days 1–6 daily, dose 3

2022-02-07

Systemic reaction (other): Forgot to say swollen lymph nodes yesterday. Swollen lymph nodes under arm area/breast area.

2022-02-08

Systemic reaction (other): Forgot to report on day 1 & 2: I had dry eyes/burning when they water. Off and on throughout my first 1-3 days. Lymph node swelling and pain under arm all the days since shot. Fevers day 2-3. None today so far.

2022-02-09

Systemic reaction (other): Lymph node under arm still swollen. Mild eye dryness

2022-02-10

Systemic reaction (other): Lymph node still swollen/painful under arm.

2022-02-11

Systemic reaction (other): Lymph node improving but still there.

Release 11 — day 7, dose 3

2022-02-12

Systemic reaction (other): I have my period so I'm achey and not feeling good. Still have lymph node under arm but is more mild now.

Release 11 — day 14, dose 3

2022-02-19

Symptoms: I started and ended my period in the last 1-2 wks and had a few PVCs which can be normal for me during those times. But basically heart palpitations, 1-2 at a time and not for long. Just wanted to report it.

Release 11 — day 28, dose 3

2022-03-05

Symptoms: Visual disturbance/migraine. I saw my specialist due to it. Possible very slight expansion of my existing enlarged blind spot in left eye.
Healthcare visit (other): Neuro-Optho Specialist

Release 11 — 3 months, dose 3

2022-05-07

Symptoms: The blindness in my left eye expanded in visual field slightly. The doctor doesn't believe it's related to the vaccines, but honestly would they ever say that it did? Then they'd all be liable for pressuring everyone who was unsure about getting it. cut off by CDC

Release 12 — 6 months, dose 3

2022-08-06

Symptoms: I got a head cold a few weeks ago. Fully recovered. I also had expansion of an enlarged blind spot in the left eye. I'm under a specialists care for that. No one will admit that my eye could have changed due to having my 3rd Covid shot.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia ✓ · ✓
SDBlindness unilateral · · ✓
SDBronchitis · · ✓
SDCondition aggravated · · ✓
SDEye pain ✓ · ✓
SDHead discomfort ✓ · ✓
SDMigraine ✓ · ✓
SDNasopharyngitis · · ✓
SDOffice visit ✓ · ✓
SDPain in extremity · · ✓
SDPalpitations · · ✓
SDParosmia · · ✓
SDPre-existing disease ✓ · ✓
SDVentricular extrasystoles · · ✓
SDViral infection · · ✓
SDVisual field defect · · ✓
SDVisual impairment · · ✓
SROBack pain ✓ · ✓
SROChest pain ✓ · ✓
SROCondition aggravated ✓ · ✓
SRODry eye · · ✓
SRODysmenorrhoea ✓ · ✓
SRODyspepsia ✓ · ✓
SROEye irritation · · ✓
SROFatigue ✓ · ✓
SROLymph node pain ✓ · ✓
SROLymphadenopathy ✓ · ✓
SROPain in extremity ✓ · ✓
SROPre-existing disease ✓ · ✓
SROPyrexia · · ✓
SROUnevaluable event ✓ · ✓
SROVentricular extrasystoles ✓ · ✓

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

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