4WK-15269-54483

5 vaccinations 12 coded responses 32 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 183 / PA
Registered: 2021-04-02

Relationship: Self
Race: Black or African American
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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Pruritus — Feeling: Good

Free text: Felt mildly itchy during first 1 -2 hours. after injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: mild gassiness/flatulence

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Chest discomfort, Pre-existing disease — Feeling: Good

Free text: Asthma flare: Moderate chest tightness & wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Good

Free text: wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Asthma, Pre-existing disease, Wheezing — Feeling: Good

Free text: Increased asthma flares (wheezing). Using inhaler 1-2 times a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 42, dose 2
MedDRA: Dehydration, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache today. Probably a little dehydrated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Cough, Malaise, Sensation of foreign body — Feeling: Good

Free text: Two days ago I had a mild cough (felt like something in the back of my throat) and mild viral feeling (like I might be getting sick). Resolved when I did immune support supplements.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Alopecia areata, Axillary pain, Condition aggravated, Injection site pain, Injection site swelling, Oedema peripheral, Pre-existing disease — Feeling: Good

Free text: 1) Had autoimmune flare (alopecia areata patch ) 2)After I received Pneumovax (in same arm as Covid vax received) I had significant swelling in axilla on that side. Also axillary pain injection site tenderness & swelling.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Dose 3 — Pfizer-BioNTech
2022-04-19
Dose 4 — Pfizer-BioNTech
2022-10-11
Dose 5 — Pfizer-BioNTech
2022-10-13
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Joint pains

Free text: sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 5
MedDRA: Irritability — Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Free text: mild emotional irritability

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-19
Health check-in — day 7, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-26
Survey response — day 14, dose 5
MedDRA: Abdominal pain upper — Feeling: Good

Free text: Stomach ache/cramps

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — day 21, dose 5
MedDRA: Abdominal discomfort, Alopecia, Dyspepsia, Epistaxis, Inflammation — Feeling: Good

Free text: A bloody nose for no reason. Increased scalp inflammation and hair loss. Mild indigestion, stomach upset.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No
4	2022-04-19	Pfizer-BioNTech	No
5	2022-10-11	Pfizer-BioNTech	No

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): Felt mildly itchy during first 1 -2 hours. after injection.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): mild gassiness/flatulence

2021-04-30

Systemic reaction (other): Asthma flare: Moderate chest tightness & wheezing

2021-05-01

Systemic reaction (other): wheezing

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Increased asthma flares (wheezing). Using inhaler 1-2 times a day

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Headache today. Probably a little dehydrated.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Two days ago I had a mild cough (felt like something in the back of my throat) and mild viral feeling (like I might be getting sick). Resolved when I did immune support supplements.

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: 1) Had autoimmune flare (alopecia areata patch ) 2)After I received Pneumovax (in same arm as Covid vax received) I had significant swelling in axilla on that side. Also axillary pain injection site tenderness & swelling.

Release 12 — days 1–6 daily, dose 5

2022-10-13

Systemic reaction (other): sore throat

2022-10-15

Systemic reaction (other): mild emotional irritability

Release 12 — day 14, dose 5

2022-10-26

Symptoms: Stomach ache/cramps

Release 12 — day 21, dose 5

2022-11-01

Symptoms: A bloody nose for no reason. Increased scalp inflammation and hair loss. Mild indigestion, stomach upset.

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	Alopecia	·	·	✓
SD	Alopecia areata	·	·	✓
SD	Asthma	✓	✓	✓
SD	Axillary pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	·	✓
SD	Dehydration	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Epistaxis	·	·	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Malaise	✓	·	✓
SD	Oedema peripheral	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sensation of foreign body	✓	·	✓
SD	Wheezing	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Irritability	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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