3EA-28483-91348

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 762 / TX
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Parosmia, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mild metal taste 1st five minutes or so. Sweet smell every since. And on off slightly runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Arthralgia, Limb discomfort, Loss of personal independence in daily activities, Myalgia, Pain, Pain in extremity, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain in arm where recived shot continues to be heavy, tender feeling and somewhat sore off and on, especially when lifting or raising arm more than 90Â° difficult to lift 25m old baby grandson whom I babysit routinely 2 days wk or grocery shop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Pfizer-BioNTech
2021-10-25
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose (forgot to add yesterday too)

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose: moderate, insomnia: moderate

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose: mild, insomnia: moderate

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Mild metal taste 1st five minutes or so. Sweet smell every since. And on off slightly runny nose.

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Muscle pain in arm where recived shot continues to be heavy, tender feeling and somewhat sore off and on, especially when lifting or raising arm more than 90Â° difficult to lift 25m old baby grandson whom I babysit routinely 2 days wk or grocery shop cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Runny nose (forgot to add yesterday too)

2021-10-28

Systemic reaction (other): Runny nose: moderate, insomnia: moderate

2021-10-30

Systemic reaction (other): Runny nose: mild, insomnia: moderate

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	Limb discomfort	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Parosmia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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