3J7-51138-48882

5 vaccinations 12 coded responses 42 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 029 / RI
Registered: 2021-03-21

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Worsened tinnitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Back pain, Lymph node pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Constant lower back pain, pain in armpit on side of injectio _lymph nodetu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymph node pain, Night sweats — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Night sweats last night only, still hurts under left arm-lymph node, still have lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Lower back pain, but,improving

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: Back pain — Feeling: Fair · Muscle or body aches

Free text: Lower back pain improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Improvement in lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-25
Dose 4 — Pfizer-BioNTech
2022-05-25
Survey response — day 0, dose 4
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms are from the covid booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Ache in left armpit-lymph node?

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Ache in left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-20
Dose 5 — Pfizer-BioNTech
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Swswollen armpit lymph node sam.e arm as injection

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Left lymph node swollen armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-09-26
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Not new- fibromyalgia- frequen t muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-05-25	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Worsened tinnitis

2021-03-23

Systemic reaction (other): Constant lower back pain, pain in armpit on side of injectio _lymph nodetu

2021-03-24

Systemic reaction (other): Night sweats last night only, still hurts under left arm-lymph node, still have lower back pain

2021-03-25

Systemic reaction (other): Lower back pain, but,improving

2021-03-26

Systemic reaction (other): Lower back pain improving

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Improvement in lower back pain

Release 11 — day 0, dose 4

2022-05-25

Systemic reaction (other): Symptoms are from the covid booster

Release 11 — days 1–6 daily, dose 4

2022-05-27

Systemic reaction (other): Ache in left armpit-lymph node?

2022-05-28

Systemic reaction (other): Ache in left armpit

Release 12 — days 1–6 daily, dose 5

2022-09-22

Systemic reaction (other): Swswollen armpit lymph node sam.e arm as injection

2022-09-23

Systemic reaction (other): Left lymph node swollen armpit

2022-09-26

Systemic reaction (other): Not new- fibromyalgia- frequen t muscle aches

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
SRO	Adverse reaction	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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