54J-27447-70245

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 902 / CA
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 1
MedDRA: Peripheral coldness, Sensation of foreign body — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cold hands, lump in throat like my uvula is swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Self-medication, Skin burning sensation, Urticaria — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Skin burns and had welts took Benadryl to calm it · Healthcare visit (other): Called Dr and have an allergist appt on Tues to do a allergy test pannel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Agitation, Feeling abnormal, Pruritus, Wheezing — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: All over itching and wheezing since yesterday, also not sure if it's related but verry agitated and uneasy feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I've been having extreme bleeding and it's not my time of the month I had just gotten off of my period the day before the injection and I have not had irregularities before?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-29
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: severe itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 14, dose 1
MedDRA: Office visit, Pruritus, Urticaria, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: allergist doesn't recommend i get the second shot. as I've had hives itching and wheezing · Healthcare visit (other): allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Survey response — day 35, dose 1
MedDRA: Hypersensitivity, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: i had an allergic reaction...i am now going to a allergist who administers 2 allergy shots a week to help with the allergies i have that i tested severely allergic to he didn't recommend i get the second shot · Healthcare visit (other): allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-28
Dose 2 — Janssen/Johnson & Johnson
2021-08-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Nausea

Adult check-in
2021-09-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-03-10
Call 1 — Could Not Reach Participant
2022-03-15
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-08-28	Janssen/Johnson & Johnson	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Cold hands, lump in throat like my uvula is swelling

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Skin burns and had welts took Benadryl to calm it

Healthcare visit (other): Called Dr and have an allergist appt on Tues to do a allergy test pannel

2021-03-24

Systemic reaction (other): All over itching and wheezing since yesterday, also not sure if it's related but verry agitated and uneasy feeling

2021-03-25

Systemic reaction (other): I've been having extreme bleeding and it's not my time of the month I had just gotten off of my period the day before the injection and I have not had irregularities before?

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): severe itching

Release 6 — day 14, dose 1

2021-04-05

Symptoms: allergist doesn't recommend i get the second shot. as I've had hives itching and wheezing

Healthcare visit (other): allergist

Release 8 — day 35, dose 1

2021-04-26

Symptoms: i had an allergic reaction...i am now going to a allergist who administers 2 allergy shots a week to help with the allergies i have that i tested severely allergic to he didn't recommend i get the second shot

Healthcare visit (other): allergist

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
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Agitation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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