3GN-31968-11701

4 vaccinations 10 coded responses 15 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 603 / IL
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-01
Survey response — day 0, dose 1
MedDRA: Feeling of body temperature change — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hot and then cold. Very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Nausea — Feeling: Good · Site: Pain · Nausea

Free text: Nausea & heartburn middle of the night got in the way of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Sweaty forehead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Back pain, Musculoskeletal stiffness, Neck pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Stiff, aching neck. I mention this because my wife also has this pain and stiffness happening and we got our shots at the same time. Also lower back pain. No idea if related to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Free text: Swollen groin lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Office visit, Rash, Rash pruritic — Feeling: Fair · Site: Pain · Headache, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Swollen R groin lymph node. Vaccine given in L deltoid. The lymph node isn't painful anymore and is smaller. Itchy rash on torso with tiny bumps. Mild. Saw my PCP and derm

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Swollen R groin lymph node is improving.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-05-15
Survey response — day 21, dose 4
MedDRA: Ear pain, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat & ear. Nasal congestion. Tired.

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — 6 months, dose 4
MedDRA: Rash, Rash vesicular — Feeling: Good

Free text: Rash on my back. Tiny little bumps that have liquid/ooze.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Hot and then cold. Very mild

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Nausea & heartburn middle of the night got in the way of sleep

2021-03-06

Systemic reaction (other): Sweaty forehead

2021-03-07

Systemic reaction (other): Ear pain

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Stiff, aching neck. I mention this because my wife also has this pain and stiffness happening and we got our shots at the same time. Also lower back pain. No idea if related to the shot.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Swollen groin lymph node

2021-10-06

Systemic reaction (other): Swollen R groin lymph node. Vaccine given in L deltoid. The lymph node isn't painful anymore and is smaller. Itchy rash on torso with tiny bumps. Mild. Saw my PCP and derm

2021-10-07

Systemic reaction (other): Swollen R groin lymph node is improving.

Release 11 — day 21, dose 4

2022-05-15

Symptoms: Sore throat & ear. Nasal congestion. Tired.

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Rash on my back. Tiny little bumps that have liquid/ooze.

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	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Rash	·	·	✓
SRO	Rash pruritic	·	·	✓

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