5JD-27827-89219

4 vaccinations 17 coded responses 50 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 787 / TX
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: A little bit of an earache in both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Lymph nodes in groin have been tender for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: The lymph nodes on the right of my groin are still tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Pain — Feeling: Good

Free text: Still have minor ache/ tenderness from lymph nodes in right groin. Lessening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph nodes in right side of groin hurt much less today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: My balance has been a little off since yesterday evening. I havent fallen , Ive just been a little less coordinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I was lightheaded this morning upon awakening - had to sit down and then lay down for another 2 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Headache, Injection site pain — Feeling: Good · Be unable to do your normal daily activities

Free text: For 2 days last week I had a really bad headache but I think it was caused by seasonal allergies and a weather system. My shot arm hurt again for one day but its all ok now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 42, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: For the last 3 weeks - lightheadedness about once to 3 times a day every 1 to 2 days, lasting for about 5 to 10 seconds each time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Head discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: My head still feels kind of full, my lower-back went loose for a week, and my finger joints started cracking suddenly about a month ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Amenorrhoea, Bone pain, Headache, Menstruation irregular, Pain, Pre-existing disease, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: About 2 months ago I had 1 week where I ached all over on a bone level and had to take Naproxin daily. And after my period being gone for 6 months, it came back in September. Lots of allergy-related headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Dose 3 — Moderna
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Good · Site: Pain · Abdominal pain

Free text: My stomach hurts/ burns but I'm not nauseous.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 7, dose 3
MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stomach still burns with or without food

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-19
Survey response — 6 months, dose 3
MedDRA: Adverse reaction, Bone pain, COVID-19, Cough, Mobility decreased, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got Covid on 5/31/22. My symptoms were very similar to seasonal allergies. I still have a lingering throat cough and occasional random bone pain. But my upper arm pain and limited mobility from the 2nd shot has finally gone away.

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Dose 4 — Moderna
2022-12-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2022-12-14
Survey response — days 1–6 daily, dose 4
MedDRA: Neck pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: My neck is not as sore today as it was yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-12-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-18
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-12-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-22
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-03-12
Survey response — 3 months, dose 4
MedDRA: Bone pain, Muscular weakness, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-11
Survey response — 6 months, dose 4
MedDRA: Bone pain, Myalgia — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2022-01-18	Moderna	No
4	2022-12-11	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): A little bit of an earache in both ears

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Lymph nodes in groin have been tender for 3 days

2021-03-27

Systemic reaction (other): The lymph nodes on the right of my groin are still tender.

2021-03-28

Systemic reaction (other): Still have minor ache/ tenderness from lymph nodes in right groin. Lessening.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Lymph nodes in right side of groin hurt much less today

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): My balance has been a little off since yesterday evening. I havent fallen , Ive just been a little less coordinated.

2021-04-14

Systemic reaction (other): I was lightheaded this morning upon awakening - had to sit down and then lay down for another 2 hours.

Release 8 — day 21, dose 2

2021-05-03

Symptoms: For 2 days last week I had a really bad headache but I think it was caused by seasonal allergies and a weather system. My shot arm hurt again for one day but its all ok now.

Release 8 — day 42, dose 2

2021-05-24

Symptoms: For the last 3 weeks - lightheadedness about once to 3 times a day every 1 to 2 days, lasting for about 5 to 10 seconds each time.

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: My head still feels kind of full, my lower-back went loose for a week, and my finger joints started cracking suddenly about a month ago.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: About 2 months ago I had 1 week where I ached all over on a bone level and had to take Naproxin daily. And after my period being gone for 6 months, it came back in September. Lots of allergy-related headaches.

Release 11 — days 1–6 daily, dose 3

2022-01-24

Systemic reaction (other): My stomach hurts/ burns but I'm not nauseous.

Release 11 — day 7, dose 3

2022-01-25

Systemic reaction (other): Stomach still burns with or without food

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: I got Covid on 5/31/22. My symptoms were very similar to seasonal allergies. I still have a lingering throat cough and occasional random bone pain. But my upper arm pain and limited mobility from the 2nd shot has finally gone away.

Release 12 — days 1–6 daily, dose 4

2022-12-14

Systemic reaction (other): My neck is not as sore today as it was yesterday

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	Adverse reaction	·	·	✓
SD	Amenorrhoea	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Pain	✓	✓	✓

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