549-15351-26780

4 vaccinations 9 coded responses 49 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 974 / OR
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Slight sore throat, very slight earache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site mass — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: There is a lump under the skin where I got the shot. Has been for two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — day 21, dose 2
MedDRA: Foreign body sensation in eyes, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Today my eye felt like there was something in it. This happens sometimes when I wake up and is unrelated to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Survey response — day 35, dose 2
MedDRA: Anxiety, Depression, Fatigue, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Blurry vision today. Not terrible and only for an hour or so. Depression and anxiety and fatigue continue. None of this is vaccine-related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Hot flush — Feeling: Fair

Free text: Hot flashes.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Dose 3 — Moderna
2021-11-10
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-12-01
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My joint pains are worse this week. This just happens; I don't believe it's in any way related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Survey response — day 35, dose 3
MedDRA: Anxiety, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and anxiety have been very bad. I do not believe there is likely any connection to the vaccine. These are health issues I already had. They're just worse this week than last.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-12-14
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-12-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-12-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-12-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-12-21
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-28
Survey response — day 14, dose 4
MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair

Free text: Swollen feet and ankles

MedDRA releases: 2024-11 · check-in free text available
2023-01-04
Survey response — day 21, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-13
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-01-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-01-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-03-17
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-06-14
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-11-10	Moderna	No
4	2022-12-14	Pfizer-BioNTech	Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Slight sore throat, very slight earache.

2021-05-08

Systemic reaction (other): There is a lump under the skin where I got the shot. Has been for two days.

Release 8 — day 21, dose 2

2021-05-27

Symptoms: Today my eye felt like there was something in it. This happens sometimes when I wake up and is unrelated to the shot.

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Blurry vision today. Not terrible and only for an hour or so. Depression and anxiety and fatigue continue. None of this is vaccine-related.

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Hot flashes.

Release 10 — day 21, dose 3

2021-12-01

Symptoms: My joint pains are worse this week. This just happens; I don't believe it's in any way related.

Release 10 — day 35, dose 3

2021-12-15

Symptoms: Fatigue and anxiety have been very bad. I do not believe there is likely any connection to the vaccine. These are health issues I already had. They're just worse this week than last.

Release 12 — day 14, dose 4

2022-12-28

Symptoms: Swollen feet and ankles

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	Anxiety	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Foreign body sensation in eyes	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Joint swelling	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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