4LX-14319-95372

3 vaccinations 20 coded responses 36 check-ins 19 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-07-10

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

2021-07-10
Registered in v-safe
2021-07-10
Dose 1 — Pfizer-BioNTech
2021-07-10
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-07-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-07-14
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Fair · Fever · Chills, Headache

Free text: Gas Gas gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-07-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-07-17
Health check-in — day 7, dose 1
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-07-24
Survey response — day 14, dose 1
MedDRA: Gastric disorder — Feeling: Good

Free text: Stomach issues.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Dose 2 — Pfizer-BioNTech
2021-08-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Respiratory tract congestion — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Free text: Chest congestion and leg pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Swollen lymph nodes arm pit,breast and back

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Lymphadenopathy, Visual impairment — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My eyesight and hearing are affective as well as lymph nodes and glands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Noxious Gas...

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Ear congestion, Hypoacusis — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Covid tongue,Covid Eyes,stuffy ears,hearing is off

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ear disorder, Eye disorder, Generalised oedema, Impaired healing, Peripheral swelling, Pharyngeal swelling, Swelling face — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ears,eyes,hearing,all bad;body swollen,face swollen,hands swollen,throat swollen...nothing feels good today

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia, Discomfort, Eye disorder, Immunisation reaction, Tinnitus — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Eyes,Covid tongue...ears heavy and shrilling...cant smell or taste.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — day 14, dose 2
MedDRA: Burning sensation, Flank pain, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: My left side has been very painful and burning. The nausea got a lot worse,but has now eased up again.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — day 21, dose 2
MedDRA: Headache, Nausea, Pain — Feeling: Good

Free text: I had a lot more nausea and head and body pains.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Headache, Nausea, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: The nausea and stomach discomfort has been worse along with headaches and body aches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Dose 3 — Pfizer-BioNTech
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ear ache

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-25
Survey response — day 7, dose 3
MedDRA: Pelvic discomfort — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pelvic pressure

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — day 14, dose 3
MedDRA: Flank pain, Muscle spasms, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: A lot of burning pain and muscle cramps on my left sid

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: The pain in my lower body in no fun at all. It feels stiff as well and weak. The booster had relieved some of it,but. Now it's back and sometimes worse.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — day 28, dose 3
MedDRA: Pain, Sleep disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: The burning pain in my lower body was intense and didn't let me sleep much

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — day 35, dose 3
MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Just the pain in the lower body,especially in my left side.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-19
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Eye pain, Eye swelling, Pain, Pharyngeal swelling, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: It looks like a new variant has me feeling rotten. Swollen throat,pain,eyes swollen and pain filled. The usual lost of smell and taste and loud ear ringing.

MedDRA releases: 2024-11 · check-in free text available
2023-01-20
Survey response — 12 months, dose 3
MedDRA: Discomfort, Uterine spasm — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-10	Pfizer-BioNTech	No
2	2021-07-31	Pfizer-BioNTech	No
3	2022-01-18	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-14

Systemic reaction (other): Gas Gas gas

Release 9 — day 14, dose 1

2021-07-24

Symptoms: Stomach issues.

Release 9 — days 1–6 daily, dose 2

2021-08-01

Systemic reaction (other): Chest congestion and leg pain

2021-08-02

Systemic reaction (other): Swollen lymph nodes arm pit,breast and back

2021-08-03

Systemic reaction (other): My eyesight and hearing are affective as well as lymph nodes and glands

2021-08-04

Systemic reaction (other): Noxious Gas...

2021-08-05

Systemic reaction (other): Covid tongue,Covid Eyes,stuffy ears,hearing is off

2021-08-06

Systemic reaction (other): Ears,eyes,hearing,all bad;body swollen,face swollen,hands swollen,throat swollen...nothing feels good today

Release 9 — day 7, dose 2

2021-08-07

Systemic reaction (other): Eyes,Covid tongue...ears heavy and shrilling...cant smell or taste.

Release 9 — day 14, dose 2

2021-08-14

Symptoms: My left side has been very painful and burning. The nausea got a lot worse,but has now eased up again.

Release 9 — day 21, dose 2

2021-08-21

Symptoms: I had a lot more nausea and head and body pains.

Release 9 — day 28, dose 2

2021-08-28

Symptoms: The nausea and stomach discomfort has been worse along with headaches and body aches.

Release 10 — days 1–6 daily, dose 3

2022-01-19

Systemic reaction (other): Ear ache

Release 11 — day 7, dose 3

2022-01-25

Systemic reaction (other): Pelvic pressure

Release 11 — day 14, dose 3

2022-02-01

Symptoms: A lot of burning pain and muscle cramps on my left sid

Release 11 — day 21, dose 3

2022-02-08

Symptoms: The pain in my lower body in no fun at all. It feels stiff as well and weak. The booster had relieved some of it,but. Now it's back and sometimes worse.

Release 11 — day 28, dose 3

2022-02-15

Symptoms: The burning pain in my lower body was intense and didn't let me sleep much

Release 11 — day 35, dose 3

2022-02-22

Symptoms: Just the pain in the lower body,especially in my left side.

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: It looks like a new variant has me feeling rotten. Swollen throat,pain,eyes swollen and pain filled. The usual lost of smell and taste and loud ear ringing.

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	Abdominal discomfort	✓	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Burning sensation	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Discomfort	·	·	✓
SD	Eye pain	·	·	✓
SD	Eye swelling	·	·	✓
SD	Flank pain	✓	·	✓
SD	Gastric disorder	✓	·	✓
SD	Headache	✓	·	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	✓	·	✓
SD	Pain	✓	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Tinnitus	·	·	✓
SD	Uterine spasm	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Ageusia	✓	·	✓
SRO	Anosmia	✓	·	✓
SRO	Discomfort	✓	·	✓
SRO	Ear congestion	✓	·	✓
SRO	Ear disorder	✓	·	✓
SRO	Ear pain	·	·	✓
SRO	Eye disorder	✓	·	✓
SRO	Flatulence	✓	✓	✓
SRO	Generalised oedema	✓	·	✓
SRO	Hypoacusis	✓	·	✓
SRO	Immunisation reaction	✓	·	✓
SRO	Impaired healing	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Pelvic discomfort	·	·	✓
SRO	Peripheral swelling	✓	·	✓
SRO	Pharyngeal swelling	✓	·	✓
SRO	Respiratory tract congestion	✓	·	✓
SRO	Swelling face	✓	·	✓
SRO	Tinnitus	✓	·	✓
SRO	Visual impairment	✓	·	✓

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