482-12835-60895

3 vaccinations 10 coded responses 23 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 951 / CA
Registered: 2021-03-25

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

Registered dependents

26V-25221-92150 Child or adolescent in my care · Female · 2021-10-28

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Hottness through my left arm upwards into my neck and head( but only on the left side, side I got injection).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dyschezia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not sure it's related but hard time defecating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Diarrhea

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Just seems that I'm getting q little congested in the chest. It's not to bad but I do notice it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 1
MedDRA: Sinus pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinuses are acting up giving me unwanted pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Itching, kinda like an allergic reaction kinda body itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: May not be related but little bumps that just suddenly appeared (like 3) and itch like crazy.

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 · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Erythema, Medical counselling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have spots appearing in random places on my body. They start as a red dot than start to get itchy. At 1st I thought it may be bug bites. Nope because they appear even when I'm not home. · Healthcare visit (other): Spoke to my Rheumatologist over the phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 35, dose 2
MedDRA: Rash pruritic — Feeling: Fair

Free text: As previously stated, keep getting little itcgy bumps in random spots at random times and the bump will itch like crazy. One came and wenr away only to reappear in same exact spot. Dont know if it has anything to do with vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Cellulitis, Headache, Hospitalisation, Oedema — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Developed severe edema in my body. Hospitalized for cellulitis in lower left extremity. Constant headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Could Not Reach Participant
2021-10-25
Call 2 — Could Not Reach Participant
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-08-31
Survey response — 12 months, dose 3
MedDRA: Ageusia, COVID-19, Feeling hot, Headache, Rhinorrhoea, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: I had covid.. constant headache, couldn't taste anything, nose drainage, no temp but body felt like i had one.

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-09-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Hottness through my left arm upwards into my neck and head( but only on the left side, side I got injection).

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Not sure it's related but hard time defecating.

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Just seems that I'm getting q little congested in the chest. It's not to bad but I do notice it.

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Sinuses are acting up giving me unwanted pain.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Itching, kinda like an allergic reaction kinda body itch.

2021-04-20

Systemic reaction (other): May not be related but little bumps that just suddenly appeared (like 3) and itch like crazy.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: I have spots appearing in random places on my body. They start as a red dot than start to get itchy. At 1st I thought it may be bug bites. Nope because they appear even when I'm not home.

Healthcare visit (other): Spoke to my Rheumatologist over the phone

Release 8 — day 35, dose 2

2021-05-25

Symptoms: As previously stated, keep getting little itcgy bumps in random spots at random times and the bump will itch like crazy. One came and wenr away only to reappear in same exact spot. Dont know if it has anything to do with vaccination.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Developed severe edema in my body. Hospitalized for cellulitis in lower left extremity. Constant headaches.

Release 12 — 12 months, dose 3

2022-08-31

Symptoms: I had covid.. constant headache, couldn't taste anything, nose drainage, no temp but body felt like i had one.

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	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Cellulitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Erythema	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Oedema	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus pain	✓	✓	✓
SRO	Dyschezia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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