3VG-97258-16125

3 vaccinations 19 coded responses 23 check-ins 19 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 480 / MI
Registered: 2021-03-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Itching

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Some itchiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Pruritus — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Itchy eyes, and body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Pruritus — Feeling: Fair · Site: Redness, Itching · Headache, Nausea

Free text: I do not see a rash, however I am. itching in different areas if my body, and especially in the eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Fair · Site: Itching · Nausea

Free text: Just my eye are itchy but not as much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Good · Site: Itching

Free text: Itchy eyes only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Good

Free text: Itchy eyes only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 1
MedDRA: Injection site pruritus — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Itchy at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pruritus — Feeling: Fair

Free text: Itchy spot in different areas, also pain at both elbows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Swelling, Itching

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Paraesthesia oral — Feeling: Fair · Site: Itching · Chills, Headache

Free text: Itchy eyes, my tongue fill a little tingly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: My eyes are itching bad, I took Benadryl and my tongue was itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Tongue pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: My eyes are itching bad and my tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Paraesthesia oral — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Itchy eyes and my tongue was tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 7, dose 2
MedDRA: Paraesthesia oral — Feeling: Good · Site: Itching · Headache

Free text: My tongue it's is tingling and not feeling funny

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

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Fair

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 28, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair

Free text: Pain am I joints an arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia — Feeling: Fair

Free text: I have joint pain and no energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Pfizer-BioNTech
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pain in my arms and legs that goes to my head to

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-12-22	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-07

Systemic reaction (other): Itching

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Some itchiness

2021-03-09

Systemic reaction (other): Itchy eyes, and body

2021-03-10

Systemic reaction (other): I do not see a rash, however I am. itching in different areas if my body, and especially in the eyes

2021-03-11

Systemic reaction (other): Just my eye are itchy but not as much

2021-03-12

Systemic reaction (other): Itchy eyes only

2021-03-13

Systemic reaction (other): Itchy eyes only

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Itchy at the injection site

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Itchy spot in different areas, also pain at both elbows

Release 6 — day 0, dose 2

2021-03-28

Systemic reaction (other): Itching

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Itchy eyes, my tongue fill a little tingly

2021-03-31

Systemic reaction (other): My eyes are itching bad, I took Benadryl and my tongue was itching

2021-04-01

Systemic reaction (other): My eyes are itching bad and my tongue

2021-04-03

Systemic reaction (other): Itchy eyes and my tongue was tingling

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): My tongue it's is tingling and not feeling funny

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Itching

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Pain am I joints an arms and legs

Release 8 — day 35, dose 2

2021-05-02

Symptoms: I have joint pain and no energy

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Pain in my arms and legs that goes to my head to

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Headache	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tongue pruritus	✓	✓	✓

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