4V4-85800-38531

4 vaccinations 31 coded responses 39 check-ins 32 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 967 / HI
Registered: 2021-02-06

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

J5E-48421-49694 Child or adolescent in my care · Male · 2022-06-20

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-05
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Purpura — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: purpura on inside of opposite arm from injection site... no pain or itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Purpura — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: opposite arm purpura resolving, I am still taking tylenol and allerflex and allerclear consistently otherwise I would be more sore and more itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Purpura, Self-medication — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: purpura largely resolved, still taking tylenol, allerflex allerclear around the clock

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Purpura, Self-medication — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: purpura still resolving, feeling most fatigued today, still taking tylenol allerflex, aller clear on schedule..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness, Purpura, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: purpura basically resolved, still taking allerflex, allerclear, tylenol on schedule, feel flu like

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 7, dose 1
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Site: Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: extreme fatigue , doing daily chores an effort..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 1
MedDRA: Fatigue, Loss of personal independence in daily activities, Myalgia, Pre-existing disease, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very easily fatigued, still taking allergy meds, allerflex , allerclear daily with tylenol for muscle pain, cannot do my usual activities with ease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Pfizer-BioNTech
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Skin laceration — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: laceration on left collarbone resting cooler bag there after injection, weighed 36 lb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Skin laceration — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches

Free text: laceration of collar bone healing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Pruritus, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: allergic, runny nose, itchiness despite allerflex allerclear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Skin laceration, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: laceration healing well on my collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: lesion on collarbone healing well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: woke up pouring sweat , which is not usual for me, usually always cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Contusion, Ecchymosis, Purpura — Feeling: Fair · Be unable to do your normal daily activities

Free text: More bruising on arms and they range from purpura to ecchymoses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 21, dose 2
MedDRA: Contusion, Pain, Purpura, Skin fragility, Skin laceration — Feeling: Fair · Be unable to do your normal daily activities

Free text: Easy bruising , new pupura, lacerations on forearms , skin very friable, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and extra phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Itching · Be unable to do your normal daily activities

Free text: Pain at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Woke up coughing and short of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still very itchy taking atarax

Adult check-in · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Pruritus, Self-medication — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Itching requires atarax, headaches require Tylenol

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pruritus, Epistaxis, Injection site pruritus, Pruritus — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still taking atarax for itching! Especially on site and inside ears, nosebleed today which I do not have.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — day 14, dose 3
MedDRA: Headache, Increased tendency to bruise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bruising easily , daily headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 28, dose 3
MedDRA: Contusion, Fatigue, Pruritus — Feeling: Fair

Free text: Itching is increasing taking allergy meds 24/7, easy bruising fatigue even after sleeping

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 35, dose 3
MedDRA: Ear pruritus, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing itching especially ears face and shoulders still taking daily atarax

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 42, dose 3
MedDRA: Insomnia, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia, severe pruritus, taking atarax.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Wheezing coughing Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-24
Dose 4 — Pfizer-BioNTech
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Eye pain, Photophobia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light hurts my eyes

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching !

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — days 1–6 daily, dose 4
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Petechiae

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Survey response — days 1–6 daily, dose 4
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: More petechiae

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Survey response — days 1–6 daily, dose 4
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: New petechiae

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — days 1–6 daily, dose 4
MedDRA: Petechiae — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Petechiae

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Pfizer-BioNTech
2	2021-03-01	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No
4	2022-06-24	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): purpura on inside of opposite arm from injection site... no pain or itching

2021-02-08

Systemic reaction (other): opposite arm purpura resolving, I am still taking tylenol and allerflex and allerclear consistently otherwise I would be more sore and more itchy

2021-02-09

Systemic reaction (other): purpura largely resolved, still taking tylenol, allerflex allerclear around the clock

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): purpura still resolving, feeling most fatigued today, still taking tylenol allerflex, aller clear on schedule..

2021-02-11

Systemic reaction (other): purpura basically resolved, still taking allerflex, allerclear, tylenol on schedule, feel flu like

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): extreme fatigue , doing daily chores an effort..

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Very easily fatigued, still taking allergy meds, allerflex , allerclear daily with tylenol for muscle pain, cannot do my usual activities with ease

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): laceration on left collarbone resting cooler bag there after injection, weighed 36 lb

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): laceration of collar bone healing

2021-03-04

Systemic reaction (other): allergic, runny nose, itchiness despite allerflex allerclear

2021-03-05

Systemic reaction (other): laceration healing well on my collarbone

2021-03-06

Systemic reaction (other): lesion on collarbone healing well

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): woke up pouring sweat , which is not usual for me, usually always cold

Release 5 — day 14, dose 2

2021-03-17

Symptoms: More bruising on arms and they range from purpura to ecchymoses

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Easy bruising , new pupura, lacerations on forearms , skin very friable, body aches

Release 6 — day 28, dose 2

2021-03-29

Symptoms: Sore throat and extra phlegm

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Pain at injection site

2021-11-22

Systemic reaction (other): Woke up coughing and short of breath

2021-11-24

Systemic reaction (other): Itching requires atarax, headaches require Tylenol

2021-11-25

Systemic reaction (other): Still taking atarax for itching! Especially on site and inside ears, nosebleed today which I do not have.

Release 10 — day 14, dose 3

2021-12-03

Symptoms: Bruising easily , daily headaches

Release 10 — day 28, dose 3

2021-12-17

Symptoms: Itching is increasing taking allergy meds 24/7, easy bruising fatigue even after sleeping

Release 10 — day 35, dose 3

2021-12-24

Symptoms: Increasing itching especially ears face and shoulders still taking daily atarax

Release 10 — day 42, dose 3

2021-12-31

Symptoms: Insomnia, severe pruritus, taking atarax.

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Wheezing coughing Fatigue

Release 12 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Still very itchy taking atarax

Release 12 — days 1–6 daily, dose 4

2022-06-25

Systemic reaction (other): Light hurts my eyes

2022-06-26

Systemic reaction (other): Itching !

2022-06-27

Systemic reaction (other): Petechiae

2022-06-28

Systemic reaction (other): More petechiae

2022-06-29

Systemic reaction (other): New petechiae

2022-06-30

Systemic reaction (other): Petechiae

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	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	Ear pruritus	·	·	✓
SD	Ecchymosis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Increased tendency to bruise	·	·	✓
SD	Insomnia	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Purpura	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin fragility	✓	✓	✓
SD	Skin laceration	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Ear pruritus	·	·	✓
SRO	Epistaxis	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Petechiae	·	·	✓
SRO	Photophobia	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Purpura	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin laceration	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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