35U-13307-24543

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 0 call cases

Sex: —
Age at first dose: 61-65
ZIP prefix: 751 / TX
Registered: 2021-03-17

Relationship: Self
Race: Other
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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 1
MedDRA: Chills, Dysgeusia, Fatigue, Immediate post-injection reaction, Nausea — Feeling: Good · Chills, Fatigue or tiredness, Nausea

Free text: Between period 5 to 20 minutes immediately after the shot i had a chemical taste in the mouth and queasiness in the abdomen; 2 hours later some chills, tiredness and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Diarrhoea, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Diarrhea

Free text: Yesterday Chills and very loose, watery, a bit slimy Diarrhea for 5 hours overnight with watery nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Watery nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Chest pain, Ear discomfort, Eye pain, Ocular discomfort, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain, Pain in Right Eye, Radiating discomfort from Right Eye towards Ear, and Runny Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Upset stomache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Vaccination site pain — Feeling: Good · Site: Pain

Free text: Mild pain in both vaccination areas. I took one vaccine dose in each arm. Mild pain in both. 2nd is subsiding quicker.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pains + !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Survey response — day 7, dose 2
MedDRA: Chest pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Chest pain- Runny Nose everyday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 28, dose 2
MedDRA: Acne, Dermatitis, Scab, Skin irritation, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Face brook out large pimples and other open skin irritations, inflammations, then scabbing.Mild throat irritation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Diarrhoea — Feeling: Good

Free text: Diarrhea recurring Joint pain mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Chest pain, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: On + off again chest pains + diarrhea since Pfizer vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Between period 5 to 20 minutes immediately after the shot i had a chemical taste in the mouth and queasiness in the abdomen; 2 hours later some chills, tiredness and fatigue.

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Yesterday Chills and very loose, watery, a bit slimy Diarrhea for 5 hours overnight with watery nose

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Watery nose

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Chest pain, Pain in Right Eye, Radiating discomfort from Right Eye towards Ear, and Runny Nose

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Upset stomache

2021-04-08

Systemic reaction (other): Mild pain in both vaccination areas. I took one vaccine dose in each arm. Mild pain in both. 2nd is subsiding quicker.

2021-04-09

Systemic reaction (other): Chest pains + !

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Chest pain- Runny Nose everyday

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Face brook out large pimples and other open skin irritations, inflammations, then scabbing.Mild throat irritation.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Diarrhea recurring Joint pain mild

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: On + off again chest pains + diarrhea since Pfizer vaccine.

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	Acne	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dermatitis	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Ocular discomfort	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Scab	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vaccination site pain	✓	✓	✓

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