4KY-21108-87785

4 vaccinations 18 coded responses 29 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 291 / SC
Registered: 2021-03-13

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

Timeline

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

2021-02-18
Dose 1 — Pfizer-BioNTech
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Site: Pain · Headache, Diarrhea

Free text: Face swollen on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Swelling face — Feeling: Good · Diarrhea

Free text: the right side of my face is still a little swollen the right side of my face is still a little swollen also the right side of my collar bone is still a little swollen it looks a little bit like edema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Bone swelling, Neck pain, Swelling — Feeling: Good

Free text: Right side of my neck have some pain and I still have a little bit of swelling of the above the right collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Swelling, Swelling face — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: There is some there is some swelling on the right side of my face and right side collarbone still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Night sweats, Swelling face — Feeling: Fair

Free text: I woke up at 3AM totally wet around my neck and shoulder. 2 mornings in a row.. Right side of face still slightly swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 28, dose 2
MedDRA: Cough, Lymphadenopathy, Swelling face, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: A dry cough, and face still slightly swollen right side collarbone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 35, dose 2
MedDRA: Hyperhidrosis, Night sweats, Pyrexia — Feeling: Fair

Free text: I had fever last night, woke up 2AM soaking wet. I still have the same symptons as last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 42, dose 2
MedDRA: Cough, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad sinus infection squeezing and dry coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Catarrh, Cough — Feeling: Good · Be unable to do your normal daily activities

Free text: Dry coughing for 2 weeks, with mucos in my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-11
Survey response — 12 months, dose 2
MedDRA: COVID-19, Decreased appetite, Sinusitis, Vomiting — Feeling: Good · 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: I caught Omicron 12/28/2021 I was vomiting and no appetite. 12/30/2021 the Dr. gave me Regen in my stomach 4 shots. 3weeks later had a sinus infection, they gave me nasal spray.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call successful
Not applicable - Accidental Reporting
2022-04-18
Dose 3 — Moderna
2022-04-28
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-05-04
Survey response — day 14, dose 3
MedDRA: Cough, Pre-existing disease — Feeling: Fair

Free text: Dry coughing, due to pollen in the air

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-16
Survey response — day 28, dose 3
MedDRA: Cough, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and dry coughing in the morning and at night

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 35, dose 3
MedDRA: Ear discomfort, Lacrimation increased, Rhinorrhoea, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My sinus is acting up, runny nose eyes watering and ears popping

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 42, dose 3
MedDRA: Ear discomfort, Headache, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a bad sinus infection still, my head hurts on the right side. Ears are popping

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — 3 months, dose 3
MedDRA: Ear discomfort, Office visit, Sinusitis, Temporomandibular pain and dysfunction syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: TMJ, I developed this after having a sinus infection and popping ears. · Healthcare visit (other): Visit my primary care provider

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-21
Call 1 — Left Voicemail
2022-07-21
Call 1 — Left Voicemail
2022-07-21
Call successful
Not applicable - Accidental Reporting
2022-09-09
Dose 4 — Moderna
2022-09-22
Health check-in — day 7, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — day 28, dose 4
MedDRA: Ear discomfort, Nasal congestion — Feeling: Good

Free text: Ears are popping again. Left nostril feels stuffy

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 42, dose 4
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a bad headache today and yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-11
Survey response — 6 months, dose 4
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech
3	2022-04-18	Moderna	No
4	2022-09-09	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Face swollen on right side

2021-03-15

Systemic reaction (other): the right side of my face is still a little swollen the right side of my face is still a little swollen also the right side of my collar bone is still a little swollen it looks a little bit like edema

2021-03-16

Systemic reaction (other): Right side of my neck have some pain and I still have a little bit of swelling of the above the right collarbone

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): There is some there is some swelling on the right side of my face and right side collarbone still

Release 6 — day 21, dose 2

2021-04-01

Symptoms: I woke up at 3AM totally wet around my neck and shoulder. 2 mornings in a row.. Right side of face still slightly swollen.

Release 7 — day 28, dose 2

2021-04-09

Symptoms: A dry cough, and face still slightly swollen right side collarbone.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: I had fever last night, woke up 2AM soaking wet. I still have the same symptons as last week.

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Bad sinus infection squeezing and dry coughing

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Dry coughing for 2 weeks, with mucos in my throat.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: I caught Omicron 12/28/2021 I was vomiting and no appetite. 12/30/2021 the Dr. gave me Regen in my stomach 4 shots. 3weeks later had a sinus infection, they gave me nasal spray.

Release 11 — day 14, dose 3

2022-05-04

Symptoms: Dry coughing, due to pollen in the air

Release 11 — day 28, dose 3

2022-05-16

Symptoms: Headache and dry coughing in the morning and at night

Release 11 — day 35, dose 3

2022-05-25

Symptoms: My sinus is acting up, runny nose eyes watering and ears popping

Release 11 — day 42, dose 3

2022-06-01

Symptoms: I have a bad sinus infection still, my head hurts on the right side. Ears are popping

Release 12 — 3 months, dose 3

2022-07-20

Symptoms: TMJ, I developed this after having a sinus infection and popping ears.

Healthcare visit (other): Visit my primary care provider

Release 12 — day 28, dose 4

2022-10-07

Symptoms: Ears are popping again. Left nostril feels stuffy

Release 12 — day 42, dose 4

2022-10-21

Symptoms: I have a bad headache today and yesterday

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
HCVO	Office visit	·	·	✓
SD	Catarrh	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Lymphadenopathy	✓	✓	○
SD	Nasal congestion	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SRO	Bone swelling	✓	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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