4FX-40808-62816

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 554 / MN
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Diarrhea

Free text: Receiving chemotherapy treatment. Diarrhea is a side effect.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache, Musculoskeletal discomfort — Feeling: Good · Headache

Free text: Sharp head pain and dizziness intermittently. Some neck discomfort at the base of the skull. Intermittent. Last anywhere from 30 seconds to 30 minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Sacral pain, Spinal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Moderate sacral and spinal column pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Sacral pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sacrum pain of the spinal column.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chemotherapy, Pre-existing disease — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Currently being treated with chemotherapy for breast cancer, double organ transplant patient 12 years ago kidney and pancreas. Immunocompromise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath, being treated for breast cancer. With chemotherapy which was put on hold last week one day prior to second vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 2
MedDRA: Fatigue, Inflammation, Oedema, Orthopnoea, Pleural effusion, Weight increased — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme inflammatory response, 17 pound weight gain, bilateral pleural effusions, orthopnea, extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Receiving chemotherapy treatment. Diarrhea is a side effect.

2021-02-09

Systemic reaction (other): Sharp head pain and dizziness intermittently. Some neck discomfort at the base of the skull. Intermittent. Last anywhere from 30 seconds to 30 minutes.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Moderate sacral and spinal column pain

2021-03-01

Systemic reaction (other): Sacrum pain of the spinal column.

2021-03-02

Systemic reaction (other): Currently being treated with chemotherapy for breast cancer, double organ transplant patient 12 years ago kidney and pancreas. Immunocompromise

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Shortness of breath, being treated for breast cancer. With chemotherapy which was put on hold last week one day prior to second vaccine.

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Extreme inflammatory response, 17 pound weight gain, bilateral pleural effusions, orthopnea, extreme fatigue.

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	Fatigue	✓	✓	✓
SD	Inflammation	✓	·	✓
SD	Oedema	○	✓	○
SD	Orthopnoea	✓	✓	✓
SD	Pleural effusion	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Chemotherapy	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sacral pain	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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