49Z-31927-08713

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 305 / GA
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chest discomfort, Gastrointestinal disorder, Headache, Immediate post-injection reaction, Lymph node pain, Lymphadenopathy, Musculoskeletal chest pain, Nasal congestion, Neck pain, Throat tightness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: The headache started within 1 hr of vaccination and only on the right side of my head. Right lung had tightness and right side of my throat.My nose also was stuffy. Sharp pain in my right arm pit lymph nodes, shoulder and neck pain with right side of the neck lymph nodes swollen and sore. When the pain in the arm pit occurred it was approximately 4 hrs after vaccination. Then severe pains running across my right rib cage. All these additional symptoms occurred yesterday. Stomach issues started around midnight on day of vaccination and continued today 19 March.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Diarrhea

Free text: I think I forgot to report that after the vaccination I had a metallic taste in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Nasal congestion, Oropharyngeal discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Stuffy nose and throat felt restricted slightly for about 3-4 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Dysgeusia, Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: On 08 April had metallic taste. Today my right arm pit and lymph nodes are swollen and very sore even into my left breast. (Left arm used for vaccination)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes and left arm pit ( injection arm) still swollen and very sore even into the left breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Headache

Free text: Left arm lymph nodes and side of breast are still swollen and sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Fatigue, Vaccination site pruritus — Feeling: Fair

Free text: Low grade fever Round 99F and fatigue since last check in Vaccination arm itching -mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Leg pain in the calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): The headache started within 1 hr of vaccination and only on the right side of my head. Right lung had tightness and right side of my throat.My nose also was stuffy. Sharp pain in my right arm pit lymph nodes, shoulder and neck pain with right side of the neck lymph nodes swollen and sore. When the pain in the arm pit occurred it was approximately 4 hrs after vaccination. Then severe pains running across my right rib cage. All these additional symptoms occurred yesterday. Stomach issues started around midnight on day of vaccination and continued today 19 March.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): I think I forgot to report that after the vaccination I had a metallic taste in my mouth

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Diarrhea

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Stuffy nose and throat felt restricted slightly for about 3-4 hrs.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): On 08 April had metallic taste. Today my right arm pit and lymph nodes are swollen and very sore even into my left breast. (Left arm used for vaccination)

2021-04-11

Systemic reaction (other): Lymph nodes and left arm pit ( injection arm) still swollen and very sore even into the left breast

2021-04-12

Systemic reaction (other): Left arm lymph nodes and side of breast are still swollen and sore.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Low grade fever Round 99F and fatigue since last check in Vaccination arm itching -mild

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Leg pain in the calf

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	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Vaccination site pruritus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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