4XW-18719-41166

5 vaccinations 18 coded responses 41 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 924 / CA
Registered: 2021-03-19

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness at times ,nausea worse at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feverish yesterday and pain in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: Dizziness, Dizziness exertional — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy if I move quickly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain that I did not have before.

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

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore muscles and joints , mostly arm and leg pain .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I feel really slow

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Throbbing headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-09-30
Survey response — 12 months, dose 3
MedDRA: Vision blurred, Vitreous floaters — Feeling: Fair

Free text: Blurry vision, floaters on left eye more pronounced than before.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-12-05
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus, Rash — Feeling: Poor · Site: Pain · 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: Severe rash and itching over my torso , neck, and back.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Survey response — days 1–6 daily, dose 5
MedDRA: Erythema, Urticaria — 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 work or attend school, Be unable to do your normal daily activities

Free text: Rash like red hives are present on legs and arms. More so present on legs.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — days 1–6 daily, dose 5
MedDRA: Fatigue, Insomnia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Insomnia for days even though I'm tired.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-09
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-16
Survey response — day 14, dose 5
MedDRA: Arthralgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Body aches at my joints has increased to the point where I need something for the pain.

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-12-30
Survey response — day 28, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Survey response — day 35, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-13
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-03-03
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-06-04
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-05-04	Pfizer-BioNTech	No
5	2022-12-02	Pfizer-BioNTech	Flu

Free text

Release 6 — day 0, dose 2

2021-03-19

Systemic reaction (other): dizziness

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Dizziness at times ,nausea worse at night

2021-03-24

Systemic reaction (other): Feverish yesterday and pain in arm

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Dizzy if I move quickly

Release 6 — day 14, dose 2

2021-04-03

Symptoms: Joint pain that I did not have before.

Release 8 — day 42, dose 2

2021-05-02

Symptoms: Sore muscles and joints , mostly arm and leg pain .

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): I feel really slow

2021-10-02

Systemic reaction (other): Severe headache

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Throbbing headache

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Severe joint pain

Release 12 — 12 months, dose 3

2022-09-30

Symptoms: Blurry vision, floaters on left eye more pronounced than before.

Release 12 — days 1–6 daily, dose 5

2022-12-05

Systemic reaction (other): Severe rash and itching over my torso , neck, and back.

2022-12-06

Systemic reaction (other): Rash like red hives are present on legs and arms. More so present on legs.

2022-12-07

Systemic reaction (other): Insomnia for days even though I'm tired.

Release 12 — day 14, dose 5

2022-12-16

Symptoms: Body aches at my joints has increased to the point where I need something for the pain.

Release 12 — day 28, dose 5

2022-12-30

Symptoms: Extreme fatigue

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	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Vision blurred	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness exertional	✓	·	✓
SRO	Erythema	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Urticaria	·	·	✓

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