4C5-17999-07921

3 vaccinations 13 coded responses 28 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-04-27

Relationship: Self
Race: Asian
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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Registered in v-safe
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea · Be unable to work

Free text: not chills but dress more than usual, like to keep body warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering — Feeling: Good

Free text: I started to have a little blister inside the left lining of my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dry throat — Feeling: Good

Free text: Dry throat followed by several light coughs first awake in the morning. That actually happened two times in the last few days after the second shot. No such symptoms during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Loud tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 7, dose 2
MedDRA: Abdominal rigidity, Diarrhoea, Pre-existing disease, Tinnitus — Feeling: Good

Free text: Mild loose stools yesterday and this morning. Several times of quick spasm of lower right abdomen throughout yesterday but nothing serious. Tinnitus still louder than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 42, dose 2
MedDRA: Chills, Diarrhoea, Fatigue — Feeling: Good

Free text: Mild chills for a couple of nights, very mild diarrhea and a bit tired for a couple of days last mid week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Dose 3 — Pfizer-BioNTech
2021-12-29
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Fair

Free text: I like to keep myself warmer than usual.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter, Headache, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Excruciate headache from midnight on 12/30. Serious heart palpitations and a short episode of heart fluttering.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Increased upper airway secretion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I started coughing on and off since the night of the injection. More phlegm in the throat last night.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I thought I didn't have a fever yesterday but when I checked later on of the day, I had a 99.4 F temperature. Now I am 98.6 but my usual temperature is 97.4. So I am still having a very very low fever.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, SARS-CoV-2 test positive — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I did an antigen test yesterday evening and it showed COVID positive. I still have coughing on and off but better than the day before.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Lymph node pain, Sneezing, Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: In the middle of the night, I had sharp pain in the lymph node area underarm, plus headache on the right side. My tinnitus since this morning is loud. The big sneezes sprees started from yesterday late afternoon continues.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — day 7, dose 3
MedDRA: Hyposmia, Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tinnitus still medium loud. Just discovered this morning that I can't smell as well as usual.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-12-29	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): not chills but dress more than usual, like to keep body warm.

2021-04-28

Systemic reaction (other): I started to have a little blister inside the left lining of my mouth.

2021-04-30

Systemic reaction (other): Dry throat followed by several light coughs first awake in the morning. That actually happened two times in the last few days after the second shot. No such symptoms during the day.

2021-05-01

Systemic reaction (other): Loud tinnitus

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Mild loose stools yesterday and this morning. Several times of quick spasm of lower right abdomen throughout yesterday but nothing serious. Tinnitus still louder than usual.

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Mild chills for a couple of nights, very mild diarrhea and a bit tired for a couple of days last mid week.

Release 10 — day 0, dose 3

2021-12-29

Systemic reaction (other): I like to keep myself warmer than usual.

Release 10 — days 1–6 daily, dose 3

2021-12-30

Systemic reaction (other): Excruciate headache from midnight on 12/30. Serious heart palpitations and a short episode of heart fluttering.

2021-12-31

Systemic reaction (other): I started coughing on and off since the night of the injection. More phlegm in the throat last night.

2022-01-01

Systemic reaction (other): I thought I didn't have a fever yesterday but when I checked later on of the day, I had a 99.4 F temperature. Now I am 98.6 but my usual temperature is 97.4. So I am still having a very very low fever.

2022-01-02

Systemic reaction (other): I did an antigen test yesterday evening and it showed COVID positive. I still have coughing on and off but better than the day before.

2022-01-03

Systemic reaction (other): In the middle of the night, I had sharp pain in the lymph node area underarm, plus headache on the right side. My tinnitus since this morning is loud. The big sneezes sprees started from yesterday late afternoon continues.

Release 10 — day 7, dose 3

2022-01-05

Systemic reaction (other): Tinnitus still medium loud. Just discovered this morning that I can't smell as well as usual.

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	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Abdominal rigidity	✓	✓	✓
SRO	Body temperature increased	·	·	✓
SRO	Cardiac flutter	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hyposmia	·	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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