3XK-12380-60789

4 vaccinations 19 coded responses 47 check-ins 17 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 210 / MD
Registered: 2021-03-29

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

2021-03-28
Dose 1 — Pfizer-BioNTech
2021-03-29
Registered in v-safe
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Syncope — Feeling: Fair · Joint pains

Free text: Faint mild numbness in face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Stuffy nose like a mild head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Nasopharyngitis, Sneezing — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Mild stuffy, sneezy nose like a mild cold

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

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-18
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Mild swollen glands in my neck, more on the vaccine side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains

Free text: Mild swollen glands in the neck on vaccine side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 21, dose 2
MedDRA: Headache, Lymphadenopathy, Otitis externa — Feeling: Fair

Free text: On non-vaccine side: swollen glands in neck and jawline, mild pain in lower back skull behind ear, seems to be an infection in one part of ear cartilage. Dont know if vaccine-related or not. Never had anything like this before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Headache, Lower respiratory tract congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Recent and ongoing sore throat, bronchial congestion and minor headache. However, Covid PCR test was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Dose 3 — Moderna
2021-11-09
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-25
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Mild cold symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 21, dose 3
MedDRA: Nasal congestion, Nasopharyngitis, Sneezing — Feeling: Fair

Free text: Moderate head cold type symptoms, esp nasal congestion and sneezing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 42, dose 3
MedDRA: Dysphonia, Lower respiratory tract congestion, Sneezing — Feeling: Good

Free text: Minor bronchial congestion, some hoarseness, some occasional sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Fatigue, Lower respiratory tract congestion, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 12/28/21 moderate symptoms like a cold, mostly sore throat and nasal congestion. 12/28 positive Covid antigen test. Mild bronchial congestion. Acute symptoms resolved, but have ongoing moderate frequent fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Dose 4 — Pfizer-BioNTech
2022-11-10
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-11-10
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-11-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-11-17
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-11-24
Survey response — day 14, dose 4
MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat, mild nasal congestion, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — day 28, dose 4
MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school

Free text: Lots of fatigue. Some nasal congestion. A mile sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue, Nasal congestion, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ongoing increased fatigue. Lots of nasal congestion and sneezing. Starting to have a cough.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-02-11
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11
2023-05-13
Survey response — 6 months, dose 4
MedDRA: Fatigue, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-28	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2021-11-09	Moderna	No
4	2022-11-10	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Faint mild numbness in face

2021-03-31

Systemic reaction (other): Stuffy nose like a mild head cold

2021-04-01

Systemic reaction (other): Mild stuffy, sneezy nose like a mild cold

2021-04-03

Systemic reaction (other): Nasal congestion

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Mild swollen glands in my neck, more on the vaccine side.

2021-04-20

Systemic reaction (other): Mild swollen glands in the neck on vaccine side.

Release 8 — day 21, dose 2

2021-05-09

Symptoms: On non-vaccine side: swollen glands in neck and jawline, mild pain in lower back skull behind ear, seems to be an infection in one part of ear cartilage. Dont know if vaccine-related or not. Never had anything like this before.

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Fatigue

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Recent and ongoing sore throat, bronchial congestion and minor headache. However, Covid PCR test was negative.

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Mild cold symptoms.

Release 10 — day 21, dose 3

2021-11-30

Symptoms: Moderate head cold type symptoms, esp nasal congestion and sneezing.

Release 10 — day 42, dose 3

2021-12-21

Symptoms: Minor bronchial congestion, some hoarseness, some occasional sneezing.

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: 12/28/21 moderate symptoms like a cold, mostly sore throat and nasal congestion. 12/28 positive Covid antigen test. Mild bronchial congestion. Acute symptoms resolved, but have ongoing moderate frequent fatigue.

Release 12 — day 14, dose 4

2022-11-24

Symptoms: Sore throat, mild nasal congestion, fatigue.

Release 12 — day 28, dose 4

2022-12-08

Symptoms: Lots of fatigue. Some nasal congestion. A mile sore throat.

Release 12 — day 35, dose 4

2022-12-15

Symptoms: Ongoing increased fatigue. Lots of nasal congestion and sneezing. Starting to have a cough.

Release 12 — day 42, dose 4

2022-12-22

Symptoms: Fatigue

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	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Otitis externa	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Syncope	✓	✓	✓

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