36B-71436-46010

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 104 / NY
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Good

Free text: Constipation (not sure its related to vaccine?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Dizziness - but dont think its vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate back pain started 7 days after 1st shot, but since I have a pre-existing history of back pain I cannot be sure that its related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Feeling a bit woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Mobility decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness; unable to lift arm over my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme dizziness....has anyone else reported this?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 2
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Occasional cough and sneezing with runny nose (wondering if its allergies?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Pain has recurred in arm that I received my shots in. My 2nd shot was on March 25 and my arm hurt for about a week but then seemed to get better. But 4 or 5 days ago the pain returned and Ive been getting moderate stabbing pains on and off daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 2
MedDRA: Injection site pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stabbing pains at the injection site started about a week ago. My last shot was on 3/25/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Cough, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lingering cough, shortness of breath and fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Constipation (not sure its related to vaccine?)

2021-03-09

Systemic reaction (other): Dizziness - but dont think its vaccine related

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Moderate back pain started 7 days after 1st shot, but since I have a pre-existing history of back pain I cannot be sure that its related to the vaccine.

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Feeling a bit woozy

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Dizziness; unable to lift arm over my head

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Extreme dizziness....has anyone else reported this?

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Occasional cough and sneezing with runny nose (wondering if its allergies?)

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Pain has recurred in arm that I received my shots in. My 2nd shot was on March 25 and my arm hurt for about a week but then seemed to get better. But 4 or 5 days ago the pain returned and Ive been getting moderate stabbing pains on and off daily

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Stabbing pains at the injection site started about a week ago. My last shot was on 3/25/21

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Lingering cough, shortness of breath and fatigue

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	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓

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