3SK-10985-24109

4 vaccinations 12 coded responses 34 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 490 / MI
Registered: 2020-12-30

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

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache

Free text: I'm Type 1 Diabetic - adult onset/LADA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Sinus drainage above average

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Fever · Headache

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Lymphadenopathy — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My avg temp normal is 96.7, so Im elevated a bit. Also some lymph node swelling in armpit of right side , injection was that side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injected limb mobility decreased, Lymph node pain, Lymphadenopathy, Sleep disorder — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches

Free text: Painfully swollen gland in armpit on injection side- range of motion and sleep affected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Swollen painful gland/lymph node? In trying side armpit still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Swollen glands in right armpit are back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Bronchial disorder, Cough, Headache, Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: Tightness in bronchia. Worse when prone. More than usual spring allergy irritation. Responding to coricidin hbp cough/chest better than to usual chlopheniramine maleate. No fever. Headaches 1-2x/wk which are not usual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 3 — Pfizer-BioNTech
Co-administered: Shingles
2022-09-24
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Blood glucose increased, Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Elevated blood glucose despite not eating

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Productive cough, Renal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Wet cough- phlegmy , kidney pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Muscle or body aches, Diarrhea

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-15
Survey response — day 21, dose 4
MedDRA: Bronchitis, Cough, Throat irritation — Feeling: Fair

Free text: Scratchy throat- dry cough like bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 35, dose 4
MedDRA: Appendicitis, Blood glucose increased, Blood pressure increased, Bronchitis, Lower respiratory tract congestion, Oropharyngeal pain, Pain, Productive cough, Pulmonary congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Acute upper respiratory infection with sore throat and bronchitis. Negative Covid antigen tests on Days 1,3,6. Still pouring phlegm and coughing the rainbow of lung and bronchial secretions. No headache , some body aches. Elevated BP and BG.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-24
Health check-in — 3 months, dose 4
Feeling: Fair

Free text: Random dizziness with position changes. Like orthodontic hypotension, but my BP remains in normal ranges. Ive noted a more sticky consistency to sinus drainage- allergy sinus is always persistent, but this gummy quality of drainage is new.

Adult check-in · check-in free text available
2023-03-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2022-04-25	Pfizer-BioNTech	Shingles
4	2022-09-24	Pfizer-BioNTech	Shingles

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): I'm Type 1 Diabetic - adult onset/LADA

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Sinus drainage above average

2021-01-01

Systemic reaction (other): Loss of appetite

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): My avg temp normal is 96.7, so Im elevated a bit. Also some lymph node swelling in armpit of right side , injection was that side.

2021-01-23

Systemic reaction (other): Painfully swollen gland in armpit on injection side- range of motion and sleep affected

2021-01-24

Systemic reaction (other): Swollen painful gland/lymph node? In trying side armpit still

Release 2 — day 7, dose 2

2021-01-27

Systemic reaction (other): Swollen glands in right armpit are back

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Tightness in bronchia. Worse when prone. More than usual spring allergy irritation. Responding to coricidin hbp cough/chest better than to usual chlopheniramine maleate. No fever. Headaches 1-2x/wk which are not usual for me.

Release 12 — days 1–6 daily, dose 4

2022-09-25

Systemic reaction (other): Elevated blood glucose despite not eating

2022-09-26

Systemic reaction (other): Wet cough- phlegmy , kidney pain

Release 12 — day 21, dose 4

2022-10-15

Symptoms: Scratchy throat- dry cough like bronchitis

Release 12 — day 35, dose 4

2022-10-29

Symptoms: Acute upper respiratory infection with sore throat and bronchitis. Negative Covid antigen tests on Days 1,3,6. Still pouring phlegm and coughing the rainbow of lung and bronchial secretions. No headache , some body aches. Elevated BP and BG.

Release 12 — 3 months, dose 4

2022-12-24

Symptoms: Random dizziness with position changes. Like orthodontic hypotension, but my BP remains in normal ranges. Ive noted a more sticky consistency to sinus drainage- allergy sinus is always persistent, but this gummy quality of drainage is new.

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	Appendicitis	·	·	✓
SD	Blood glucose increased	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Bronchial disorder	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Blood glucose increased	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Renal pain	·	·	✓
SRO	Sinus operation	○	○	○
SRO	Sleep disorder	✓	✓	✓

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