53C-31030-68931

3 vaccinations 13 coded responses 36 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 023 / MA
Registered: 2021-04-07

Relationship: Self
Race: White
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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Dizziness, Dry mouth, Fatigue — Feeling: Fair

Free text: Light headed ness exhausted. Severe dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe dry mouth. I have dry mouth normally but this severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work

Free text: Severe dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Good · Site: Pain · Headache, Joint pains

Free text: Severe dry mouth

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: Fair · Headache

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Good · Headache, Joint pains

Free text: On a good unexpired note. My cough and shortness of breath for 2 1/2 yrs just about gone since getting my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Feeding disorder, Impaired work ability, Nausea, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: severe vertigo & nausea sat-Mon.Unable to eat/drink water.today(tues) i went to work.In bed 3 days.I do have vertigo. was the worse ever in 18 yrs. my Homeo remedies usually end it,not this time. One trigger is medications. Amoxacillin 1st trigger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 21, dose 2
MedDRA: Fatigue, Joint noise, Loss of personal independence in daily activities, Vertigo, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: vertigo still having but better; joints now clicking, vomit slowed way down. Have throw up pan with me at work when i went back to work last Tuesday through today. Extremely tired still. Work ok but at home unable to do any but rest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Ear discomfort, Headache, Hypoacusis, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Plugged up ears getting worse. Sounds muffled. Vertigo still comes And goes headache worse some days Joint pain comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 35, dose 2
MedDRA: Arthropathy, Asthenia, Ear discomfort, Fatigue, Headache, Vertigo — Feeling: Fair

Free text: Ear blocking is still there. worse when I bend head down or up and mild headache starts, gets the start of vertigo-mild. put head in normal position and stops, ears stay blocked. Sounds like under water. Still fatigued ,no stamina. finger joints pop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-21
Dose 3 — Pfizer-BioNTech
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work or attend school

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-01-26
Survey response — days 1–6 daily, dose 3
MedDRA: Balance disorder, Gait disturbance — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: my balance is off - difficulty keeping balance walking but sitting ok or lying down is ok

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Balance

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Joint pains

Free text: balance

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — day 28, dose 3
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
2022-02-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-22
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2022-01-21	Pfizer-BioNTech	No

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Light headed ness exhausted. Severe dry mouth

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Severe dry mouth. I have dry mouth normally but this severe.

2021-04-29

Systemic reaction (other): Severe dry mouth

2021-04-30

Systemic reaction (other): Severe dry mouth

2021-05-03

Systemic reaction (other): On a good unexpired note. My cough and shortness of breath for 2 1/2 yrs just about gone since getting my vaccine

Release 8 — day 14, dose 2

2021-05-11

Symptoms: severe vertigo & nausea sat-Mon.Unable to eat/drink water.today(tues) i went to work.In bed 3 days.I do have vertigo. was the worse ever in 18 yrs. my Homeo remedies usually end it,not this time. One trigger is medications. Amoxacillin 1st trigger

Release 8 — day 21, dose 2

2021-05-18

Symptoms: vertigo still having but better; joints now clicking, vomit slowed way down. Have throw up pan with me at work when i went back to work last Tuesday through today. Extremely tired still. Work ok but at home unable to do any but rest

Release 8 — day 28, dose 2

2021-05-25

Symptoms: Plugged up ears getting worse. Sounds muffled. Vertigo still comes And goes headache worse some days Joint pain comes and goes

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Ear blocking is still there. worse when I bend head down or up and mild headache starts, gets the start of vertigo-mild. put head in normal position and stops, ears stay blocked. Sounds like under water. Still fatigued ,no stamina. finger joints pop cut off by CDC

Release 11 — days 1–6 daily, dose 3

2022-01-26

Systemic reaction (other): my balance is off - difficulty keeping balance walking but sitting ok or lying down is ok

2022-01-27

Systemic reaction (other): Balance

Release 11 — day 7, dose 3

2022-01-28

Systemic reaction (other): balance

Release 11 — day 28, dose 3

2022-02-18

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	Arthropathy	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeding disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Joint noise	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vertigo	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Gait disturbance	·	·	✓
SRO	Unevaluable event	·	·	✓

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