3MF-33407-95825

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 148 / NY
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

CS5-77106-76973 Child or adolescent in my care · Male · 2021-12-06

VGY-25441-47820 Child or adolescent in my care · Male · 2021-12-06

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Limb discomfort — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea

Free text: Fogginess and generally feeling heavy and slow

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

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain · Headache

Free text: Strange sharp/shooting pain around area of shot but deep in my deltoid. Lasted less than 30 seconds and went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache

Free text: Neck pain on same side as shot (right)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruising at injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Tremor — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Hot flashes. Hands were unsteady and shaking for first few hours after waking this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Still have a purple and yellow bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Bad bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Still bad bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good · Headache

Free text: STILL bruised at site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): Fogginess and generally feeling heavy and slow

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Strange sharp/shooting pain around area of shot but deep in my deltoid. Lasted less than 30 seconds and went away

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Neck pain on same side as shot (right)

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Bruising at injection

2021-05-03

Systemic reaction (other): Hot flashes. Hands were unsteady and shaking for first few hours after waking this morning

2021-05-04

Systemic reaction (other): Still have a purple and yellow bruise at injection site

2021-05-05

Systemic reaction (other): Bad bruising at injection site

2021-05-06

Systemic reaction (other): Still bad bruise at injection site

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): STILL bruised at site

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	Feeling abnormal	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Tremor	✓	✓	✓

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