2ZJ-12321-34518

5 vaccinations 15 coded responses 56 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 297 / SC
Registered: 2021-04-22

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

2021-04-19
Dose 1 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 14, dose 1
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good

Free text: Around 8 days after vaccine I developed a herpes simplex lesion on my lip. I have not had an outbreak previous to this one in over 13 months. Unsure if theres a connection? FYI: I have no history of autoimmune disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Dose 2 — Pfizer-BioNTech
2021-05-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness (randomly and lasting only minutes each time)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 35, dose 2
MedDRA: Rash, Rash pruritic, Urticaria — Feeling: Good

Free text: On 5-31-2021 started breaking out in rash that looks and feels like urticaria. Small patches of 1-4 lesions on chin, forearms, knee, thigh, forehead. Some last 1 day others several days. Very itchy. No new lesions since 6-5. Current ones fading

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness fleeting

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-25
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — day 42, dose 3
MedDRA: Oral herpes — Feeling: Good

Free text: This week I had a herpes simplex eruption (cold sore) on my lip.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Herpes simplex, Oral herpes, Pre-existing disease — Feeling: Good

Free text: Another herpes lesion on lip

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-04-05
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-07
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Good · Site: Pain · Headache

Free text: Uncharacteristic (for me) insomnia last night

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Good · Headache

Free text: Insomnia (uncharacteristic for me)

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Nausea

Adult check-in
2022-09-17
Survey response — days 1–6 daily, dose 5
MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia / unusual vivid dreams

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Survey response — days 1–6 daily, dose 5
MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia / vivid dreams

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia, Sleep disorder — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Disrupted sleep / insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea

Free text: Insomnia continues / sleep in 2-3 hours then wake and have a hard time going back to sleep

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia - uncharacteristic for me - I'm usually a very sound sleeper

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Survey response — day 7, dose 5
MedDRA: Sleep disorder — Feeling: Good · Joint pains, Muscle or body aches

Free text: Still having disrupted sleep

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Pfizer-BioNTech
2	2021-05-10	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No
4	2022-04-05	Pfizer-BioNTech	No
5	2022-09-15	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Mild dizziness

Release 8 — day 14, dose 1

2021-05-03

Symptoms: Around 8 days after vaccine I developed a herpes simplex lesion on my lip. I have not had an outbreak previous to this one in over 13 months. Unsure if theres a connection? FYI: I have no history of autoimmune disease.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Dizziness (randomly and lasting only minutes each time)

Release 9 — day 35, dose 2

2021-06-14

Symptoms: On 5-31-2021 started breaking out in rash that looks and feels like urticaria. Small patches of 1-4 lesions on chin, forearms, knee, thigh, forehead. Some last 1 day others several days. Very itchy. No new lesions since 6-5. Current ones fading cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Dizziness fleeting

Release 10 — day 42, dose 3

2021-12-30

Symptoms: This week I had a herpes simplex eruption (cold sore) on my lip.

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Another herpes lesion on lip

Release 11 — days 1–6 daily, dose 4

2022-04-07

Systemic reaction (other): Uncharacteristic (for me) insomnia last night

2022-04-10

Systemic reaction (other): Insomnia (uncharacteristic for me)

Release 12 — days 1–6 daily, dose 5

2022-09-17

Systemic reaction (other): Insomnia / unusual vivid dreams

2022-09-18

Systemic reaction (other): Insomnia / vivid dreams

2022-09-19

Systemic reaction (other): Disrupted sleep / insomnia

2022-09-20

Systemic reaction (other): Insomnia continues / sleep in 2-3 hours then wake and have a hard time going back to sleep

2022-09-21

Systemic reaction (other): Insomnia - uncharacteristic for me - I'm usually a very sound sleeper

Release 12 — day 7, dose 5

2022-09-22

Systemic reaction (other): Still having disrupted sleep

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	Herpes simplex	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Abnormal dreams	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Sleep disorder	·	·	✓

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