4E6-31615-85682

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 420 / KY
Registered: 2021-05-17

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

2021-05-15
Dose 1 — Pfizer-BioNTech
2021-05-17
Registered in v-safe
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-29
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness, my face has broken out badly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Dose 2 — Pfizer-BioNTech
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-14
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-20
Survey response — day 14, dose 2
MedDRA: Acne, Food allergy, Pre-existing disease — Feeling: Fair

Free text: My food allergies have gotten worse. My face stays broken out and Ive never had acne in my life.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-04
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I dont know if its vaccine related but my food allergies have gotten worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — day 35, dose 2
MedDRA: Asthenia, Blood glucose decreased, Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizzy spells. Almost fainted with low blood sugar. Ive never had this before. Very weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Survey response — day 42, dose 2
MedDRA: Epistaxis, Haematemesis, Hypersensitivity, Malaise, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very sick. Nose bleeds vomiting blood. My food allergies is worse

MedDRA releases: 2024-11 · check-in free text available
2021-09-06
Survey response — 3 months, dose 2
MedDRA: Dizziness, Lethargy — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness, lethargy, thats persistent

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-04
Survey response — 6 months, dose 2
MedDRA: Heart rate irregular, Tachycardia — Feeling: Fair

Free text: Tachycardia and irregular heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I went from 156 pounds to 98. I can't keep good down. I have numbness in my feet and legs and fingers. I never felt like this until I was vaccinated.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Pfizer-BioNTech
2	2021-06-05	Pfizer-BioNTech

Free text

Release 8 — day 14, dose 1

2021-05-29

Symptoms: Dizziness, my face has broken out badly

Release 9 — day 14, dose 2

2021-06-20

Symptoms: My food allergies have gotten worse. My face stays broken out and Ive never had acne in my life.

Release 9 — day 28, dose 2

2021-07-04

Symptoms: I dont know if its vaccine related but my food allergies have gotten worse

Release 9 — day 35, dose 2

2021-07-12

Symptoms: Dizzy spells. Almost fainted with low blood sugar. Ive never had this before. Very weak.

Release 9 — day 42, dose 2

2021-07-17

Symptoms: Very sick. Nose bleeds vomiting blood. My food allergies is worse

Release 9 — 3 months, dose 2

2021-09-06

Symptoms: Dizziness, lethargy, thats persistent

Release 10 — 6 months, dose 2

2021-12-04

Symptoms: Tachycardia and irregular heart beat

Release 11 — 12 months, dose 2

2022-06-05

Symptoms: I went from 156 pounds to 98. I can't keep good down. I have numbness in my feet and legs and fingers. I never felt like this until I was vaccinated.

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	Acne	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose decreased	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	·	·	✓
SD	Food allergy	✓	✓	✓
SD	Haematemesis	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Lethargy	✓	·	✓
SD	Malaise	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tachycardia	·	·	✓
SD	Weight decreased	·	·	✓

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