5FW-11781-74086

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 432 / OH
Registered: 2021-06-04

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

2021-06-04
Registered in v-safe
2021-06-04
Dose 1 — Pfizer-BioNTech
2021-06-04
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Good

Free text: Phlem in the throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · None

Adult check-in
2021-06-11
Health check-in — day 7, dose 1
Feeling: Fair · Fever · None

Adult check-in
2021-06-18
Survey response — day 14, dose 1
MedDRA: Eye pruritus, Pre-existing disease, Pruritus, Sneezing — Feeling: Good

Free text: Itchy skin, not sure if it is related to covid. On my left big toe, on my legs and on the inside of my right arm and by my shoulder blades. Sneezing but that could be the pollen. Itchy eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Dose 2 — Pfizer-BioNTech
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fever · Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Nausea

Adult check-in
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-07-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Itching

Free text: Itching all over my body. On my stomach, legs and back in particular

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Itching

Free text: Mild itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-18
Survey response — day 21, dose 2
MedDRA: Headache, Hypogeusia, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor

Free text: Just got a negative rapid test but have many of the symtoms. Lots of sinus pressure, had nasal drip, sore throat, low taste ability, headache ect. This may be a sinus Infection

MedDRA releases: 2024-11 · check-in free text available
2021-07-23
Survey response — day 28, dose 2
MedDRA: Rash, Sinusitis — Feeling: Fair

Free text: I got a sinus Infection that started 7/15 and is pretty much gone as of 7/23. I also have hard bumps in my legs. There was one on my right shin but didn't think much of it and now there's on on my left shin.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Survey response — day 35, dose 2
MedDRA: Oedema peripheral — Feeling: Fair

Free text: I have a bump under my right armpit for about 3 days. I still have the bump on my lower right shin.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-04	Pfizer-BioNTech
2	2021-06-25	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Systemic reaction (other): Phlem in the throat

Release 9 — day 14, dose 1

2021-06-18

Symptoms: Itchy skin, not sure if it is related to covid. On my left big toe, on my legs and on the inside of my right arm and by my shoulder blades. Sneezing but that could be the pollen. Itchy eyes.

Release 9 — days 1–6 daily, dose 2

2021-06-26

Systemic reaction (other): Runny nose

2021-07-01

Systemic reaction (other): Itching all over my body. On my stomach, legs and back in particular

Release 9 — day 7, dose 2

2021-07-02

Systemic reaction (other): Mild itching

Release 9 — day 21, dose 2

2021-07-18

Symptoms: Just got a negative rapid test but have many of the symtoms. Lots of sinus pressure, had nasal drip, sore throat, low taste ability, headache ect. This may be a sinus Infection

Release 9 — day 28, dose 2

2021-07-23

Symptoms: I got a sinus Infection that started 7/15 and is pretty much gone as of 7/23. I also have hard bumps in my legs. There was one on my right shin but didn't think much of it and now there's on on my left shin.

Release 9 — day 35, dose 2

2021-07-30

Symptoms: I have a bump under my right armpit for about 3 days. I still have the bump on my lower right shin.

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	Eye pruritus	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	✓	·	✓
SD	Sneezing	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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