3XG-30650-60596

3 vaccinations 13 coded responses 36 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 275 / NC
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Survey response — day 0, dose 1
MedDRA: Chest pain, Dizziness, Hypoaesthesia oral, Lip swelling, Throat tightness — Feeling: Poor · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dizziness, chest pain, throat tightness, numb/swollen lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Acne, Dry skin, Erythema, Pruritus, Pustule, Rash, Self-medication, Skin burning sensation, Skin swelling, Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Painful rash/acne? Suddenly broke out all over my entire chin, skin is swollen, bright red, and dry, burning and itches. Tiny pus filled pimples are spreading to my nose and cheeks. Benedryl helps. · Healthcare visit (other): Messaged my rheumatologist, scheduled a dermatology appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Eye twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Eye irritation, Lymphadenopathy — Feeling: Good

Free text: Eye twitching/burning, swollen glands under arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Conjunctivitis, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Left eye conjunctivitis, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Gastrointestinal disorder, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, digestive issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call 1 — Left Voicemail
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Breast cyst — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very large complicated breast cyst on same side as vaccination arm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Call 1 — Left Voicemail
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain

Free text: In addition to swollen gland under my arm, painful swollen glands in my neck

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-25
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-01
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-08
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-09-17
Survey response — day 28, dose 3
MedDRA: Abdominal pain upper, Nausea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach pains, chronic yeast infection, nausea

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Survey response — day 42, dose 3
MedDRA: Constipation, Gastrooesophageal reflux disease, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Reflux/nausea, constipation

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — 3 months, dose 3
MedDRA: Arthritis, Pain in extremity — Feeling: Fair

Free text: Pain/arthritis in feet and hands

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Dizziness, chest pain, throat tightness, numb/swollen lips

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Painful rash/acne? Suddenly broke out all over my entire chin, skin is swollen, bright red, and dry, burning and itches. Tiny pus filled pimples are spreading to my nose and cheeks. Benedryl helps.

Healthcare visit (other): Messaged my rheumatologist, scheduled a dermatology appt.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Eyelid twitching

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Eye twitching

2021-04-29

Systemic reaction (other): Eye twitching/burning, swollen glands under arms

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Left eye conjunctivitis, extreme fatigue

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Nausea, digestive issues

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Very large complicated breast cyst on same side as vaccination arm

Release 9 — days 1–6 daily, dose 3

2021-08-23

Systemic reaction (other): In addition to swollen gland under my arm, painful swollen glands in my neck

Release 9 — day 28, dose 3

2021-09-17

Symptoms: Stomach pains, chronic yeast infection, nausea

Release 9 — day 35, dose 3

2021-09-22

Symptoms: Extreme fatigue

Release 9 — day 42, dose 3

2021-09-29

Symptoms: Reflux/nausea, constipation

Release 10 — 3 months, dose 3

2021-11-17

Symptoms: Pain/arthritis in feet and hands

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
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Acne	✓	·	✓
SD	Arthritis	·	·	✓
SD	Breast cyst	✓	·	✓
SD	Conjunctivitis	✓	✓	✓
SD	Constipation	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pustule	○	✓	○
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Skin swelling	✓	·	✓
SD	Swelling	○	✓	○
SRO	Blepharospasm	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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