2XL-31894-16349

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-03-20

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Visual impairment — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vision is off balance. The left side of the lines of text and images on my computer screen look lower on the left than on the right, even though I know it is level.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Serious fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 21, dose 2
MedDRA: Fatigue, Lymph node pain — Feeling: Fair

Free text: Odd shooting pains in lymph nodes. Fatigue continues to be a problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 42, dose 2
MedDRA: Hormone level abnormal, Pre-existing disease — Feeling: Fair

Free text: Feeling hormonal, but am in menopause, so that shouldn't be possible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Moderna
2021-11-18
Survey response — day 0, dose 3
MedDRA: Balance disorder, Brain fog, Vision blurred — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Foggy thinking, blurred vision, and balance is off.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Balance disorder, Eye pain, Neuralgia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Off balance. Eyeball pain. Nerve pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Survey response — day 28, dose 3
MedDRA: Hot flush, Hyperhidrosis — Feeling: Fair

Free text: Hot flashes and sweats.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Chills, Diarrhoea, Fatigue, Haematochezia, Headache, Hyperhidrosis, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea, abdominal pain, bloody stools, fatigue, fever, chills, sweating, and headache.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-11-18	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Vision is off balance. The left side of the lines of text and images on my computer screen look lower on the left than on the right, even though I know it is level.

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Serious fatigue.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Odd shooting pains in lymph nodes. Fatigue continues to be a problem.

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Feeling hormonal, but am in menopause, so that shouldn't be possible.

Release 10 — day 0, dose 3

2021-11-18

Systemic reaction (other): Foggy thinking, blurred vision, and balance is off.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Off balance. Eyeball pain. Nerve pain.

Release 10 — day 28, dose 3

2021-12-20

Symptoms: Hot flashes and sweats.

Release 10 — day 35, dose 3

2021-12-23

Symptoms: Diarrhea, abdominal pain, bloody stools, fatigue, fever, chills, sweating, and headache.

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	Abdominal pain	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Haematochezia	·	·	✓
SD	Headache	·	·	✓
SD	Hormone level abnormal	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Neuralgia	·	·	✓
SRO	Vision blurred	·	·	✓
SRO	Visual impairment	✓	✓	✓

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