3XJ-29236-54821

3 vaccinations 11 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 330 / FL
Registered: 2021-01-25

Relationship: Self
Race: White
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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-25
Registered in v-safe
2021-01-25
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Pfizer-BioNTech
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Fair · Fatigue or tiredness

Free text: Dragging my eye sight is blurry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I dont know if this is related not just now but more so I get a hive like oror bite that turns into a rash and scratch until

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Survey response — day 28, dose 2
MedDRA: Fatigue, Pruritus, Rash — Feeling: Fair

Free text: I get itches for no reason then turns into a rash I still get tired spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Fatigue, Nervousness — Feeling: Fair

Free text: Feel shaky at times still tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-13
Survey response — days 1–6 daily, dose 3
MedDRA: Apathy, Malaise, Sluggishness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dragging no motivation unwell

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hard to concentrate

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Anxious

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — day 7, dose 3
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Eyes hurt

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Survey response — day 28, dose 3
MedDRA: Balance disorder, Fear — Feeling: Fair

Free text: Very unsteady on my feet scary

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 35, dose 3
MedDRA: Feeling abnormal, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities

Free text: The past couple of weeks I have been very unsteady on my feet still feel not myself

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 42, dose 3
Feeling: Fair · Be unable to do your normal daily activities

Free text: Very unsteady balance

Adult check-in · check-in free text available
2022-01-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-12
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-12
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-04	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Dragging my eye sight is blurry

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): I dont know if this is related not just now but more so I get a hive like oror bite that turns into a rash and scratch until

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Very very tired

Release 5 — day 28, dose 2

2021-03-04

Symptoms: I get itches for no reason then turns into a rash I still get tired spells

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Feel shaky at times still tired

Release 10 — days 1–6 daily, dose 3

2021-10-13

Systemic reaction (other): Dragging no motivation unwell

2021-10-17

Systemic reaction (other): Hard to concentrate

2021-10-18

Systemic reaction (other): Anxious

Release 10 — day 7, dose 3

2021-10-21

Systemic reaction (other): Eyes hurt

Release 10 — day 28, dose 3

2021-11-09

Symptoms: Very unsteady on my feet scary

Release 10 — day 35, dose 3

2021-11-16

Symptoms: The past couple of weeks I have been very unsteady on my feet still feel not myself

Release 12 — day 42, dose 3

2021-11-23

Symptoms: Very unsteady balance

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	Balance disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Fear	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Nervousness	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Anxiety	·	·	✓
SRO	Apathy	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Malaise	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Sluggishness	·	·	✓
SRO	Vision blurred	✓	✓	✓

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