37E-19308-85430

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 142 / NY
Registered: 2021-04-23

Relationship: Self
Race: Black or African American
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

2021-04-23
Registered in v-safe
2021-04-23
Dose 1 — Pfizer-BioNTech
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Body ache from head to feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: It seem like I have a bump under arm right beneath my are pit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea

Free text: Som nausea today but mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I haven't been the same since my 1sr. At this point I will not be taken my 2nd shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-09
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a sore throat , sore muscles, and watery stool.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-14
Health check-in — day 0, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

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 — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I been having terrible headache all week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Having bad shoulder pain. I have made 2 doctor's appointment, one with primary doctor and the ither with orthopedic to see whats going on with it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 42, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Headaches and a runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Arthritis, Inflammation, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: I have terrible pain in my right shoulder. I have seen a doctor and it is said that I have arthritis and inflammation.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Body ache from head to feet.

2021-04-26

Systemic reaction (other): It seem like I have a bump under arm right beneath my are pit.

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Som nausea today but mild.

2021-04-28

Systemic reaction (other): I haven't been the same since my 1sr. At this point I will not be taken my 2nd shot.

Release 8 — day 14, dose 1

2021-05-09

Symptoms: I had a sore throat , sore muscles, and watery stool.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: I been having terrible headache all week.

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Having bad shoulder pain. I have made 2 doctor's appointment, one with primary doctor and the ither with orthopedic to see whats going on with it.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Headaches and a runny nose.

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: I have terrible pain in my right shoulder. I have seen a doctor and it is said that I have arthritis and inflammation.

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	Arthralgia	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓

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