3HM-53487-32057

5 vaccinations 25 coded responses 64 check-ins 25 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 060 / CT
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Racing heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Heart palpitations and a pinging sensation

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: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light- headed, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Paraesthesia, Sneezing — Feeling: Good

Free text: Sneezing a lot. Tingling in my arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Injection site discomfort, Self-medication — Feeling: Good

Free text: Out of nowhere while I was sound asleep, my left arm where I was vaccinated started throbbing something terribly. It was throbbing at the injection site. It hurt so much that I took 2 extra strength Tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Injection site pain, Self-medication — Feeling: Good

Free text: Left arm by injection site still very sore. From time-to-time the area throbs terribly. I take Tylenol to ease the discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Hypopnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My breathing is shallower than it usually is

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 35, dose 3
MedDRA: Chills, Dizziness, Dyspnoea, Lethargy, Mobility decreased, Pyrexia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: On 11/6/21 evening out of nowhere I developed a 103.5 fever, severe chills, shortness of breath, felt very lethargic, dizzy & felt like I was going to faint. My husband helped me to bed. After 2 hours passed I took Tylenol. By morning fever was gone.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — 3 months, dose 3
MedDRA: Body temperature decreased, Dry throat, Dysphonia, Fatigue, Peripheral coldness, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dry throat. Intermittent hoarseness. Below normal temperature. Cold hands. Frequent sneezing. Runny nose. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Malaise, Pulmonary oedema, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Acute upper respiratory infection with fluid in my lungs. Progressed to acute bronchitis. I was gravely ill for 8 weeks. Took 3 at home COVID tests, all of which were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Dose 4 — Pfizer-BioNTech
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Lethargy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Irritability — Feeling: Poor · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Irritability

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Irritability — Feeling: Fair · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Irritability

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Survey response — day 21, dose 4
MedDRA: Dysphonia, Dyspnoea, Fatigue, Oropharyngeal pain — Feeling: Poor

Free text: Soar throat, fatigue, hoarseness, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — day 28, dose 4
MedDRA: Bronchitis, Ear infection, Laryngitis, Oesophagitis, Pharyngitis, Pre-existing disease, Pyrexia — Feeling: Fair

Free text: Chronic hoarseness, pharyngitis, laryngitis, esophagitis, bronchitis, double ear infection, low grade fever

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 35, dose 4
MedDRA: Bronchitis, Dysphonia, Ear infection, Fatigue, Laryngitis, Oesophagitis, Pharyngitis, SARS-CoV-2 test negative — Feeling: Poor

Free text: Acute hoarseness, fatigue, double ear infection, bronchitis, laryngitis, pharangitist, and esophagitis. No fever. Took 2 at home COVID-19 tests. Both were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-08
Dose 5 — Pfizer-BioNTech
2022-11-10
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-12
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dizziness — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness

Free text: Dizziness, dry hacky cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — days 1–6 daily, dose 5
MedDRA: Anxiety, Dizziness — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, anxious

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Survey response — day 7, dose 5
MedDRA: Anxiety, Dizziness — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Survey response — day 14, dose 5
MedDRA: Cough, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair

Free text: Soar throat, nasal drip, dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Survey response — day 21, dose 5
MedDRA: Cough, Dyspnoea, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, coughing, fatigue, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Survey response — day 28, dose 5
MedDRA: Cough, Dizziness, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Dry hacky cough, sneezing, runny nose, dizziness ?

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-20
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-02-07
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-09
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-05-17	Pfizer-BioNTech	No
5	2022-11-08	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Heart racing

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Racing heart

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Heart palpitations and a pinging sensation

2021-04-09

Systemic reaction (other): Light- headed, dizziness

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Sneezing a lot. Tingling in my arms.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Out of nowhere while I was sound asleep, my left arm where I was vaccinated started throbbing something terribly. It was throbbing at the injection site. It hurt so much that I took 2 extra strength Tylenol.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Left arm by injection site still very sore. From time-to-time the area throbs terribly. I take Tylenol to ease the discomfort.

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): My breathing is shallower than it usually is

Release 10 — day 35, dose 3

2021-11-11

Symptoms: On 11/6/21 evening out of nowhere I developed a 103.5 fever, severe chills, shortness of breath, felt very lethargic, dizzy & felt like I was going to faint. My husband helped me to bed. After 2 hours passed I took Tylenol. By morning fever was gone. cut off by CDC

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: Dry throat. Intermittent hoarseness. Below normal temperature. Cold hands. Frequent sneezing. Runny nose. Fatigue

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Acute upper respiratory infection with fluid in my lungs. Progressed to acute bronchitis. I was gravely ill for 8 weeks. Took 3 at home COVID tests, all of which were negative.

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Lethargy

2022-05-20

Systemic reaction (other): Irritability

2022-05-21

Systemic reaction (other): Irritability

Release 11 — day 21, dose 4

2022-06-07

Symptoms: Soar throat, fatigue, hoarseness, shortness of breath

Release 12 — day 28, dose 4

2022-06-14

Symptoms: Chronic hoarseness, pharyngitis, laryngitis, esophagitis, bronchitis, double ear infection, low grade fever

Release 12 — day 35, dose 4

2022-06-21

Symptoms: Acute hoarseness, fatigue, double ear infection, bronchitis, laryngitis, pharangitist, and esophagitis. No fever. Took 2 at home COVID-19 tests. Both were negative.

Release 12 — days 1–6 daily, dose 5

2022-11-10

Systemic reaction (other): Dizziness

2022-11-12

Systemic reaction (other): Dizziness

2022-11-13

Systemic reaction (other): Dizziness, dry hacky cough

2022-11-14

Systemic reaction (other): Dizziness, anxious

Release 12 — day 7, dose 5

2022-11-15

Systemic reaction (other): Dizziness anxiety

Release 12 — day 14, dose 5

2022-11-22

Symptoms: Soar throat, nasal drip, dry cough

Release 12 — day 21, dose 5

2022-11-29

Symptoms: Fever, coughing, fatigue, shortness of breath

Release 12 — day 28, dose 5

2022-12-06

Symptoms: Dry hacky cough, sneezing, runny nose, dizziness ?

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	Body temperature decreased	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dry throat	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site discomfort	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Lethargy	·	·	✓
SD	Malaise	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Oesophagitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral coldness	·	·	✓
SD	Pharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary oedema	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypopnoea	·	·	✓
SRO	Irritability	·	·	✓
SRO	Lethargy	·	·	✓
SRO	Palpitations	✓	✓	✓

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