3R5-32690-06349

4 vaccinations 12 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 606 / IL
Registered: 2021-04-16

Relationship: Self
Race: Black or African American
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

2021-03-26
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tightness at base of skull

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Nausea, Rhinorrhoea — Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My stomach is knotted up. It's almost like hunger pains and it's constant. I've even tried eating to make it go away.but it's hard with the nausea. My nose is constantly running

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: My stomach stays in knots/cramping the pain is close to hunger pains but food doesn't help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Asthenia, Fatigue, Palpitations — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My stomach is always in knots like hunger pains even after eating. It is constant non stop. I've been really tired, very low energy and it seems that my heart races after walking up a few steps. My Dr won't be back in town till June. I hope this gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Vomiting — Feeling: Fair · Be unable to work

Free text: I vomited a clue times, fluid mostly. Because the stomach pains feel like hunger pains it's hard for me 5o tell the difference. guess I puked cause I was hunger. These sto.ach pains con w scale of 1 to 10 with 10 being really bad, I'm 5 to put 7 lots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Chest pain, Nausea, Productive cough — Feeling: Fair · Be unable to work

Free text: Have had some chest pain on upper left side. Hunger pains/stomach cramps still persist and get painful weather 8 eat 9r not. Hacking up lots 9f plem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Facial pain, Fatigue, Headache, Productive cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school

Free text: Lots of congestion with pleghm. Been getting pretty bad head aches intense at base of head, but migrates sometimes to between eyebrow. Stay tired taking lots of naps

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Dose 3 — Pfizer-BioNTech
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Rapid heartbeat and congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Chronic kidney disease, Hypertension — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Stage 4 kidney desease and hypertension

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-01
Survey response — 6 months, dose 3
MedDRA: Wheezing — Feeling: Fair

Free text: Have been wheezing not sure if it's allergies or not

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-05-29
Survey response — days 1–6 daily, dose 4
MedDRA: Ear discomfort, Ear pain, Odynophagia, Oral pain, Stomatitis — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Ear ache and pressure. Roof of mouth is sore feels raw hurts swallowa

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

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

Adult check-in
2022-06-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-05-25
Survey response — 12 months, dose 4
MedDRA: Respiratory tract congestion, Self-medication, Wheezing — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-10-31	Pfizer-BioNTech	No
4	2022-05-23	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Tightness at base of skull

2021-04-22

Systemic reaction (other): My stomach is knotted up. It's almost like hunger pains and it's constant. I've even tried eating to make it go away.but it's hard with the nausea. My nose is constantly running

Release 8 — day 21, dose 2

2021-05-07

Symptoms: My stomach stays in knots/cramping the pain is close to hunger pains but food doesn't help.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: My stomach is always in knots like hunger pains even after eating. It is constant non stop. I've been really tired, very low energy and it seems that my heart races after walking up a few steps. My Dr won't be back in town till June. I hope this gone cut off by CDC

Release 8 — day 35, dose 2

2021-05-23

Symptoms: I vomited a clue times, fluid mostly. Because the stomach pains feel like hunger pains it's hard for me 5o tell the difference. guess I puked cause I was hunger. These sto.ach pains con w scale of 1 to 10 with 10 being really bad, I'm 5 to put 7 lots cut off by CDC

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Have had some chest pain on upper left side. Hunger pains/stomach cramps still persist and get painful weather 8 eat 9r not. Hacking up lots 9f plem

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Lots of congestion with pleghm. Been getting pretty bad head aches intense at base of head, but migrates sometimes to between eyebrow. Stay tired taking lots of naps

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Rapid heartbeat and congestion

2021-11-06

Systemic reaction (other): Stage 4 kidney desease and hypertension

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Have been wheezing not sure if it's allergies or not

Release 11 — days 1–6 daily, dose 4

2022-05-29

Systemic reaction (other): Ear ache and pressure. Roof of mouth is sore feels raw hurts swallowa

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	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Facial pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Self-medication	·	·	✓
SD	Vomiting	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Chronic kidney disease	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Odynophagia	·	·	✓
SRO	Oral pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Stomatitis	·	·	✓

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