5AJ-83711-23177

2 vaccinations 14 coded responses 19 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 850 / AZ
Registered: 2021-11-19

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

2021-11-19
Registered in v-safe
2021-11-19
Dose 1 — Pfizer-BioNTech
2021-11-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Muscular weakness, Renal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidneys hurt when I woke up, legs feel like rubber last two days, fuzzy brain

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Renal pain, Tinnitus — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Kidneys hurt,brain fog,can hear my heart pump sometimes

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Free text: Kidneys still hurt

Adult check-in · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: Kidney still hurts

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-26
Survey response — day 7, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: Some kidney discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Dose 2 — Pfizer-BioNTech
2021-12-10
Survey response — day 0, dose 2
MedDRA: Eye pain, Tongue discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tongue feels weird, feels like got punched in the eyes going to bed

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 2
MedDRA: Renal disorder — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Damn kidney is acting up again

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Kidney

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 2
MedDRA: Renal disorder — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidney I see MD tomorrow

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidney

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure abnormal, Vaccine positive rechallenge — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My blood pressure has been whacked. It was bad with the first shot but this is horrible with this 2nd shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-26
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 21, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness while laying down sitting up

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness persistent Some might say it's vertigo but it started three days after the shot I won't do another one ever

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-19	Pfizer-BioNTech	No
2	2021-12-10	Pfizer-BioNTech	No

Free text

Release 10 — days 1–6 daily, dose 1

2021-11-20

Systemic reaction (other): Sweating

2021-11-21

Systemic reaction (other): Kidneys hurt when I woke up, legs feel like rubber last two days, fuzzy brain

2021-11-22

Systemic reaction (other): Kidneys hurt,brain fog,can hear my heart pump sometimes

2021-11-24

Systemic reaction (other): Kidney still hurts

Release 10 — day 7, dose 1

2021-11-26

Systemic reaction (other): Some kidney discomfort

Release 10 — day 0, dose 2

2021-12-10

Systemic reaction (other): Tongue feels weird, feels like got punched in the eyes going to bed

Release 10 — days 1–6 daily, dose 2

2021-12-11

Systemic reaction (other): Damn kidney is acting up again

2021-12-12

Systemic reaction (other): Kidney

2021-12-13

Systemic reaction (other): Kidney I see MD tomorrow

2021-12-14

Systemic reaction (other): Kidney

2021-12-16

Systemic reaction (other): My blood pressure has been whacked. It was bad with the first shot but this is horrible with this 2nd shot

Release 10 — day 14, dose 2

2021-12-26

Symptoms: I have been dizzy

Release 10 — day 21, dose 2

2022-01-02

Symptoms: Dizziness while laying down sitting up

Release 11 — day 42, dose 2

2022-01-21

Symptoms: Dizziness persistent Some might say it's vertigo but it started three days after the shot I won't do another one ever

Release 12 — days 1–6 daily, dose 1

2021-11-23

Systemic reaction (other): Kidneys still hurt

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	Dizziness	·	·	✓
SRO	Blood pressure abnormal	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Renal disorder	·	·	✓
SRO	Renal pain	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Tongue discomfort	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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