58H-11382-69784

4 vaccinations 15 coded responses 31 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Upper Back Pain-Moderate to Severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Fatigue, Insomnia — Feeling: Good · Site: Pain

Free text: Upper shoulder back ache which was mild. Also did not sleep well so tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain

Free text: May he unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Axillary pain, Back pain — Feeling: Fair

Free text: Backache, Tunmy ache, no fever. Back hurt from outside my armpit to my shoulder blade. I am 88.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Upper Back, near shoulder blade hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Right side back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Intermittent upper backache on right upper side where vaccine was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Axillary pain, Back pain — Feeling: Fair

Free text: Upper Back, near armpit, on the side I got the Pfizer vaccine hurts intermittently. It could be a swollen lymph node or it could be something muscle skeletal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 42, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Pain on the side where I got my shot which I think is the right side. It is on the upper back near my arm pit. It is intermittent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Back hurts a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Cellulitis, Hospitalisation, Infected dermal cyst, Sebaceous cyst excision — Feeling: Fair

Free text: Cellulitis and hospitalized for 5 days, and a LARGE Sebaceous Cyst, filled with pus and blood suddenly appeared at my hairline on my neck on the right side and I had to get it surgically removed by a General Surgeon it was so infected!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-25
Dose 3 — Pfizer-BioNTech
2022-03-03
Survey response — 12 months, dose 2
MedDRA: Cellulitis, Fatigue, Hypersomnia — Feeling: Good

Free text: Getting tired easy and sleeping more. Had a bout of cellulitis but I am ok.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Somnolence — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Sleepiness

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Survey response — day 35, dose 4
MedDRA: Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good

Free text: Congestion allergies, negative Covid Test

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-04
Survey response — 12 months, dose 4
MedDRA: COVID-19, Pre-existing disease — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	No
4	2022-05-04	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Upper Back Pain-Moderate to Severe

2021-02-13

Systemic reaction (other): Upper shoulder back ache which was mild. Also did not sleep well so tired.

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): May he unrelated

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Backache, Tunmy ache, no fever. Back hurt from outside my armpit to my shoulder blade. I am 88.

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Upper Back, near shoulder blade hurts.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Right side back pain

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Intermittent upper backache on right upper side where vaccine was given.

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Upper Back, near armpit, on the side I got the Pfizer vaccine hurts intermittently. It could be a swollen lymph node or it could be something muscle skeletal.

Release 7 — day 42, dose 2

2021-04-19

Symptoms: Pain on the side where I got my shot which I think is the right side. It is on the upper back near my arm pit. It is intermittent.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Back hurts a little

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Cellulitis and hospitalized for 5 days, and a LARGE Sebaceous Cyst, filled with pus and blood suddenly appeared at my hairline on my neck on the right side and I had to get it surgically removed by a General Surgeon it was so infected!

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: Getting tired easy and sleeping more. Had a bout of cellulitis but I am ok.

Release 11 — days 1–6 daily, dose 4

2022-05-06

Systemic reaction (other): Sleepiness

Release 11 — day 35, dose 4

2022-06-08

Symptoms: Congestion allergies, negative Covid Test

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	Abdominal pain	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cellulitis	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	✓	·	✓
SD	Hypersomnia	·	·	✓
SD	Infected dermal cyst	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sebaceous cyst excision	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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