4JF-10654-61649

4 vaccinations 10 coded responses 28 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 221 / VA
Registered: 2021-03-04

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

QYR-18668-22893 Child or adolescent in my care · Male · 2021-10-02

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction, Muscle twitching — Feeling: Good

Free text: My nerves/muscles keeps jumping at the injection site. It's not problematic. It's bizarre.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Hsv-1 - last outbreak was in 2017.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes simplex — Feeling: Fair · Headache, Muscle or body aches

Free text: HSV-1 hybrid style

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 28, dose 2
MedDRA: Burning sensation — Feeling: Good

Free text: Minor: opposite arm from shot has slight burning. Its unique, but may be unrelated.Thanks for following up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 35, dose 2
MedDRA: Burning sensation — Feeling: Good

Free text: Slight burning by elbows and hsv1 strong assumptions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Pfizer-BioNTech
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Furuncle — Feeling: Good · Site: Swelling

Free text: Rejuvenated after booster, deep boil in armpit, it subsided

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Good

Free text: Loss of appetite after booster, not now.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 21, dose 3
MedDRA: Headache, Sinusitis — Feeling: Fair

Free text: Sinusitis with headache. Possibly unrelated due to acute sinusitis with headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-08
Dose 4 — Pfizer-BioNTech
2022-09-09
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site haemorrhage, Pain in extremity, Peripheral swelling — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A lot of blood on cotton ball after injection. Out of all four injections, this is the 1st time that my arm is sore or swollen.

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-03-09
Survey response — 6 months, dose 4
MedDRA: Herpes simplex, Pre-existing disease, Reaction to previous exposure to any vaccine, Sinusitis — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-12-16	Pfizer-BioNTech	No
4	2022-09-08	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): My nerves/muscles keeps jumping at the injection site. It's not problematic. It's bizarre.

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Hsv-1 - last outbreak was in 2017.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): HSV-1 hybrid style

Release 7 — day 28, dose 2

2021-04-21

Symptoms: Minor: opposite arm from shot has slight burning. Its unique, but may be unrelated.Thanks for following up

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Slight burning by elbows and hsv1 strong assumptions

Release 10 — days 1–6 daily, dose 3

2021-12-21

Systemic reaction (other): Rejuvenated after booster, deep boil in armpit, it subsided

2021-12-22

Systemic reaction (other): Loss of appetite after booster, not now.

Release 10 — day 21, dose 3

2022-01-06

Symptoms: Sinusitis with headache. Possibly unrelated due to acute sinusitis with headaches.

Release 12 — days 1–6 daily, dose 4

2022-09-09

Systemic reaction (other): A lot of blood on cotton ball after injection. Out of all four injections, this is the 1st time that my arm is sore or swollen.

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	Burning sensation	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Headache	·	·	✓
SD	Herpes simplex	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Furuncle	·	·	✓
SRO	Herpes simplex	✓	✓	✓
SRO	Injection site haemorrhage	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓

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