4M8-20377-04831

4 vaccinations 11 coded responses 51 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 986 / WA
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Nausea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Skin warm, Tenderness, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Welts on 1 ankle this morning. 4x6 area, at least 6 different welts. Not itchy, just painful to touch and warm. For now, assuming unknown bug feasted on me last night, but uncommon this time of year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Bite, Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Non itchy rash or bites on ankle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Cold sore on lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 1
MedDRA: Oral herpes — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Cold sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Chills

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding, Hypomenorrhoea, Intermenstrual bleeding, Menstruation irregular — Feeling: Good

Free text: Menstrual irregularities. Short cycles and long cycles. Unexpected bleeding mid cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-21
Survey response — day 0, dose 3
MedDRA: Oral herpes — Feeling: Good · Headache

Free text: Cold sores

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Cold sores

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — 3 months, dose 3
MedDRA: Back disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Back issues, probably due to bad back support on sofa.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Dose 4 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: cold sores

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-10-07
Survey response — day 7, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Redness

Free text: Cold sores

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

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

Adult check-in
2022-10-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-02
Survey response — 6 months, dose 4
MedDRA: Haemorrhage, Neoplasm skin, Skin discolouration — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	Flu
4	2022-09-30	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Welts on 1 ankle this morning. 4x6 area, at least 6 different welts. Not itchy, just painful to touch and warm. For now, assuming unknown bug feasted on me last night, but uncommon this time of year.

2021-03-23

Systemic reaction (other): Non itchy rash or bites on ankle.

2021-03-24

Systemic reaction (other): Cold sore on lip

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Cold sores

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Menstrual irregularities. Short cycles and long cycles. Unexpected bleeding mid cycle.

Release 10 — day 0, dose 3

2021-10-21

Systemic reaction (other): Cold sores

Release 10 — days 1–6 daily, dose 3

2021-10-22

Systemic reaction (other): Cold sores

Release 10 — 3 months, dose 3

2022-01-20

Symptoms: Back issues, probably due to bad back support on sofa.

Release 12 — days 1–6 daily, dose 4

2022-10-04

Systemic reaction (other): cold sores

Release 12 — day 7, dose 4

2022-10-07

Systemic reaction (other): Cold sores

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	Back disorder	·	·	✓
SD	Haemorrhage	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypomenorrhoea	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Neoplasm skin	·	·	✓
SD	Skin discolouration	·	·	✓
SRO	Bite	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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