524-81523-24661

3 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 100 / NY
Registered: 2021-04-14

Relationship: Self
Race: Other
Ethnicity: 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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Medical device site pain, Pre-existing disease, Pruritus, Skin tightness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Area where i have libre sensor has been hurting, feels tight, burning and itchy. Started 24 hrs after shot. Never happened b4 does this 2 or 3x per day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Dry eye, Pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Burning and pain in different spot. Bottom of arm by elbow, same spot as reported yesterday where libre sensor is. My eyes feel dry too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Pruritus, Tenderness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Same issue with spots on body feeling like burning and itchy but painful to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-21
Survey response — day 7, dose 1
MedDRA: Abdominal pain upper, Pre-existing disease, Vomiting — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Threw up again today. Stomach pain annoying alot of cramping. Is this because i have transverse myelitis so side effects a little worse?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still vomiting and diarrheaNausea still bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-16
Dose 2 — Pfizer-BioNTech
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Couple sores on upper inside part of mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival swelling, Oral pain, Tongue ulceration — Feeling: Fair · Site: Redness, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Mouth sore inside of mouth. Gums swollen and tongue has sores too. Started 48 hrs after shot just didnt relate it to it until someone else said they had mouth sores too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 7, dose 2
MedDRA: Pain in extremity, Stomatitis — Feeling: Poor · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sores in mouth still. Pain in left leg since ahot alot worse. Pain level at an 8 will call dr tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More pain in rt leg. I strongly believe shot made my TM worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Dose 3 — Moderna
2022-05-18
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-12-03
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-16	Pfizer-BioNTech
3	2021-12-03	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Area where i have libre sensor has been hurting, feels tight, burning and itchy. Started 24 hrs after shot. Never happened b4 does this 2 or 3x per day

2021-04-18

Systemic reaction (other): Burning and pain in different spot. Bottom of arm by elbow, same spot as reported yesterday where libre sensor is. My eyes feel dry too

2021-04-19

Systemic reaction (other): Same issue with spots on body feeling like burning and itchy but painful to touch.

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): Threw up again today. Stomach pain annoying alot of cramping. Is this because i have transverse myelitis so side effects a little worse?

Release 8 — day 21, dose 1

2021-05-07

Symptoms: Still vomiting and diarrheaNausea still bad

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Couple sores on upper inside part of mouth

2021-05-22

Systemic reaction (other): Mouth sore inside of mouth. Gums swollen and tongue has sores too. Started 48 hrs after shot just didnt relate it to it until someone else said they had mouth sores too.

Release 8 — day 7, dose 2

2021-05-23

Systemic reaction (other): Sores in mouth still. Pain in left leg since ahot alot worse. Pain level at an 8 will call dr tomorrow

Release 8 — day 14, dose 2

2021-05-30

Symptoms: More pain in rt leg. I strongly believe shot made my TM worse.

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	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Gingival swelling	✓	✓	✓
SRO	Medical device site pain	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin tightness	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Tongue ulceration	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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