4SK-32628-39956

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 088 / NJ
Registered: 2021-01-24

Relationship: Self
Race: Asian
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

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Survey response — day 0, dose 2
MedDRA: Sensation of foreign body — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Ive had lump in the throat 4 days after the first shot until now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Injection arm hurts when move certain directions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Arm still hurts when move certain angle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Sensation of foreign body — Feeling: Good · Site: Pain

Free text: Lump in my throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Sensation of foreign body — Feeling: Good · Site: Pain

Free text: Feel a lump in the throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Arm hurts when move certain angles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Arm hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Abdominal pain upper, Diarrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe stomach cramps, diarrhea and vomiting for one night. Upset stomach for a few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Injection arm muscle sore worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Nausea, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nauseated, arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Pain in extremity, Sensation of foreign body — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lump in throat, arm sore, upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech

Free text

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Ive had lump in the throat 4 days after the first shot until now.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Injection arm hurts when move certain directions

2021-02-15

Systemic reaction (other): Arm still hurts when move certain angle

2021-02-16

Systemic reaction (other): Lump in my throat

2021-02-17

Systemic reaction (other): Feel a lump in the throat

2021-02-18

Systemic reaction (other): Arm hurts when move certain angles

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Arm hurts

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Severe stomach cramps, diarrhea and vomiting for one night. Upset stomach for a few days

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Injection arm muscle sore worse

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Nauseated, arm pain

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Lump in throat, arm sore, upset stomach

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	Abdominal pain upper	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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