5BA-33515-58839

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 953 / CA
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Aphonia, Asthma, Dyspnoea — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work

Free text: Had Asma attacks, shorts of breath n lost voice completely

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: Asthma — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Increased asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Breast hurt, and I feel a bit swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Breast swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Swelling breast and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Hypertension — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lost of appetite, high blood pressure 190

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lost of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Ageusia, Dehydration, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lost of taste, dehydration, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Hypertension, Hypoaesthesia, Peripheral swelling, Varicose vein — Feeling: Fair · Be unable to work

Free text: Numbness in arms n legs, swelling in hands and feet, varicose veins in both legs, high blood pressure,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-11
Survey response — 12 months, dose 2
MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tested positive for COVID-19- on February 26, still feeling very ill after treatments, "Cromazone"

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Dose 3 — Pfizer-BioNTech
2022-04-21
Health check-in — day 0, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-24
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Vein disorder — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertical veins increasing, my legs hurt

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Varicose vein — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Legs pain, varicose veins increasing

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-06-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2022-04-21	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Had Asma attacks, shorts of breath n lost voice completely

2021-03-25

Systemic reaction (other): Increased asthma

2021-03-26

Systemic reaction (other): Breast hurt, and I feel a bit swollen

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Swelling breast and painful

2021-04-14

Systemic reaction (other): Lost of appetite, high blood pressure 190

2021-04-15

Systemic reaction (other): Lost of appetite

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Lost of taste, dehydration, body aches

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Numbness in arms n legs, swelling in hands and feet, varicose veins in both legs, high blood pressure,

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Tested positive for COVID-19- on February 26, still feeling very ill after treatments, "Cromazone"

Release 11 — days 1–6 daily, dose 3

2022-04-24

Systemic reaction (other): Vertical veins increasing, my legs hurt

2022-04-25

Systemic reaction (other): Legs pain, varicose veins increasing

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	Ageusia	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Varicose vein	✓	✓	✓
SRO	Aphonia	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Varicose vein	·	·	✓
SRO	Vein disorder	·	·	✓

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