4XM-21615-61070

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 142 / NY
Registered: 2021-03-11

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

Timeline

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

2021-02-18
Dose 1 — Pfizer-BioNTech
2021-03-11
Registered in v-safe
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-11
Survey response — day 0, dose 2
MedDRA: Feeling hot, Flushing — Feeling: Good · Fever

Free text: I'm flushed and feel hot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, moderate pain under my arm on the side where i got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Dizziness — Feeling: Good · Site: Pain · Abdominal pain

Free text: Dizziness and pain under my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Fatigue or tiredness

Free text: Pain in my arm pit on the side where i got the shot. I assume it's lymph nodes?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in my arm pit on the side where I got the shot. I assume it's lymph nodes?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in my arm pit. I assume it's lymph nodes?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Twice I've had a fever over 100.4, with bad body aches. The first time I got tested for covid and it was negative. The second time I didn't get tested.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Bacterial infection, Pharyngitis, Rhinitis, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Bacterial infection in nose and throat. Urinary tract infection.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): I'm flushed and feel hot.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Dizziness and fatigue

2021-03-13

Systemic reaction (other): Dizziness, moderate pain under my arm on the side where i got the shot

2021-03-14

Systemic reaction (other): Dizziness and pain under my arm

2021-03-15

Systemic reaction (other): Pain in my arm pit on the side where i got the shot. I assume it's lymph nodes?

2021-03-16

Systemic reaction (other): Pain in my arm pit on the side where I got the shot. I assume it's lymph nodes?

2021-03-17

Systemic reaction (other): Pain in my arm pit. I assume it's lymph nodes?

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Diarrhea

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Twice I've had a fever over 100.4, with bad body aches. The first time I got tested for covid and it was negative. The second time I didn't get tested.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: Bacterial infection in nose and throat. Urinary tract infection.

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	Bacterial infection	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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