4A7-16792-16677

4 vaccinations 17 coded responses 28 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 722 / AR
Registered: 2021-05-02

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-05-02
Registered in v-safe
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Post herpetic neuralgia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, post herpatic neuralgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Post herpetic neuralgia — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, post herpatic neuralgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shingles outbreak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Herpes zoster, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Second shingles outbreak, continued low grade fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Chest pain, Dyspnoea, Herpes zoster, Postural orthostatic tachycardia syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Third outbreak of shingles (while on suppressive therapy), chest pain, shortness of breath, POTS

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-03
Dose 4 — Moderna
2022-05-03
Survey response — day 0, dose 4
MedDRA: Brain fog, Chest pain, Dyspnoea, Post herpetic neuralgia, Post-acute COVID-19 syndrome, Postural orthostatic tachycardia syndrome — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Long Covid, POTS, post herpatic neuralgia, brain fog, chest pain, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Headache — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My headache is worse when I cough for four days now

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough makes headache worse

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain, Cough — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain, Cough, Exertional headache, Headache — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache worse with cough, chest pain after activity

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 7, dose 4
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — day 14, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes auxiliary area, same arm I received booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Survey response — day 28, dose 4
MedDRA: Chest pain, Cough, Dyspnoea, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain, cough, shortness of breath have gotten worse. Headache worse with cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Blister, Hypoaesthesia, Hypoaesthesia oral, Muscle twitching, Paraesthesia, Paraesthesia oral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Numbness and tingling left chin to upper lip area. Chin twitching. Vesicle on chin.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — 6 months, dose 4
MedDRA: Chronic fatigue syndrome, Mast cell activation syndrome — Feeling: Fair · Be unable to work or attend school, 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: Diagnosed with myalgic encephamylitis and mast cell activation disorder

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-03
Survey response — 12 months, dose 4
MedDRA: Thoracic outlet syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-03
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-04
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	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-11-05	Moderna	No
4	2022-05-03	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Swollen lymph nodes

2021-05-04

Systemic reaction (other): Swollen lymph nodes, post herpatic neuralgia

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Swollen lymph nodes, post herpatic neuralgia

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Shingles outbreak

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Second shingles outbreak, continued low grade fever

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Third outbreak of shingles (while on suppressive therapy), chest pain, shortness of breath, POTS

Release 11 — day 0, dose 4

2022-05-03

Systemic reaction (other): Long Covid, POTS, post herpatic neuralgia, brain fog, chest pain, SOB

Release 11 — days 1–6 daily, dose 4

2022-05-06

Systemic reaction (other): My headache is worse when I cough for four days now

2022-05-07

Systemic reaction (other): Cough makes headache worse

2022-05-08

Systemic reaction (other): Cough, chest pain

2022-05-09

Systemic reaction (other): Headache worse with cough, chest pain after activity

Release 11 — day 7, dose 4

2022-05-10

Systemic reaction (other): Chest pain, SOB

Release 11 — day 14, dose 4

2022-05-17

Symptoms: Swollen lymph nodes auxiliary area, same arm I received booster

Release 11 — day 28, dose 4

2022-05-31

Symptoms: Chest pain, cough, shortness of breath have gotten worse. Headache worse with cough

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Numbness and tingling left chin to upper lip area. Chin twitching. Vesicle on chin.

Release 12 — 6 months, dose 4

2022-11-01

Symptoms: Diagnosed with myalgic encephamylitis and mast cell activation disorder

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	Blister	·	·	✓
SD	Chest pain	·	·	✓
SD	Chronic fatigue syndrome	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypoaesthesia oral	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mast cell activation syndrome	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Paraesthesia oral	·	·	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Thoracic outlet syndrome	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Exertional headache	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Post herpetic neuralgia	✓	✓	✓
SRO	Post-acute COVID-19 syndrome	·	·	✓
SRO	Postural orthostatic tachycardia syndrome	·	·	✓

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