5EH-15351-58412

3 vaccinations 12 coded responses 22 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-03-19

Relationship: Self
Race: Black or African American
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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Periorbital swelling, Tenderness — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Upper and lower eyelids puffy and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Swelling of eyelid, Tenderness — Feeling: Good · Fatigue or tiredness

Free text: Both top and bottom of right eyelid slight swelling, and very tender to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling of eyelid, Tenderness — Feeling: Good

Free text: Swollen and tender eye lid, top and bottom, right eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eye swelling, Eyelid margin crusting — Feeling: Good

Free text: Right eye: swollen, tender, and now crusty when I wake up

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: Eye swelling, Tenderness — Feeling: Good

Free text: Right eye, still slightly swollen, minimal tenderness, decrease in crust

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Eyelid irritation, Swelling of eyelid — Feeling: Good

Free text: Right eyelid, swelling and tenderness gone, but small amount of crust on outer edge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling under armpit on side injection was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen, tenderness in armpit area of the arm that received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Joint pains, Muscle or body aches

Free text: Slight tenderness and swelling in armpit on arm where injection was done

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Joint pains, Muscle or body aches

Free text: Minimal tenderness and swelling under armpit of injected arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Pfizer-BioNTech
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling under armpit on injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain

Free text: Swelling under armpit on injected arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Upper and lower eyelids puffy and tender

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Both top and bottom of right eyelid slight swelling, and very tender to touch

2021-03-21

Systemic reaction (other): Swollen and tender eye lid, top and bottom, right eye.

2021-03-22

Systemic reaction (other): Right eye: swollen, tender, and now crusty when I wake up

2021-03-23

Systemic reaction (other): Right eye, still slightly swollen, minimal tenderness, decrease in crust

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Right eyelid, swelling and tenderness gone, but small amount of crust on outer edge

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Swelling under armpit on side injection was administered

2021-04-10

Systemic reaction (other): Swollen, tenderness in armpit area of the arm that received injection

2021-04-11

Systemic reaction (other): Slight tenderness and swelling in armpit on arm where injection was done

2021-04-12

Systemic reaction (other): Minimal tenderness and swelling under armpit of injected arm.

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Swelling under armpit on injection arm

2021-12-03

Systemic reaction (other): Swelling under armpit on injected arm

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
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Eyelid irritation	✓	✓	✓
SRO	Eyelid margin crusting	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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