5JF-19047-08588

4 vaccinations 13 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 571 / SD
Registered: 2021-04-01

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

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Runny nose and a lot of sneezing since afternoon of day of vaccine (unclear if vaccine related or hayfever, but on hayfever medication)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Headache

Free text: slight shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: Slight shortness of breath, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Survey response — day 0, dose 2
MedDRA: Hypersensitivity, Self-medication, Tongue blistering, Tongue eruption — Feeling: Fair · Site: Pain · Chills, Headache, Nausea

Free text: had small blister-like bumps appear on the side of my tongue about an hour after the injection, like a minor allergic reaction took Benadryl and appeared better after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Chest pain, Dizziness, Injection site pain, Oedema peripheral, Pain, Pain in jaw, Self-medication, Tongue eruption — Feeling: Poor · Site: Pain · Fever · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: dizziness; bumps on tongue were back in the morning, took Benadryl again, which helped; pain from injection spread into armpit (feels a bit swollen) and left side of chest/upper torso; slight jaw-pain (assuming lymph nodes by ears and in armpit are slightly swollen)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-27
Dose 3 — Pfizer-BioNTech
2021-12-27
Survey response — day 0, dose 3
MedDRA: Feeling hot — Feeling: Good · Site: Pain

Free text: feeling hot

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: swollen lymph node in left armpit since yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: Lymph node in left armpit still slightly swollen

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-11
Survey response — day 14, dose 3
MedDRA: Body temperature increased, Fatigue, Feeling hot — Feeling: Fair

Free text: Feeling feverish and fatigued today, currently at 99.2F.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Ran a fever on and off for a couple days and was fatigued, tested negative with home test. Had what may have been food poisoning (really bad diarrhea) over the weekend.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2023-01-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2023-01-18
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2023-01-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-26
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-12-27	Pfizer-BioNTech	No
4	2023-01-16	Pfizer-BioNTech	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Runny nose and a lot of sneezing since afternoon of day of vaccine (unclear if vaccine related or hayfever, but on hayfever medication)

2021-04-02

Systemic reaction (other): slight shortness of breath

2021-04-03

Systemic reaction (other): Slight shortness of breath, runny nose

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): had small blister-like bumps appear on the side of my tongue about an hour after the injection, like a minor allergic reaction took Benadryl and appeared better after

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): dizziness; bumps on tongue were back in the morning, took Benadryl again, which helped; pain from injection spread into armpit (feels a bit swollen) and left side of chest/upper torso; slight jaw-pain (assuming lymph nodes by ears and in armpit are slightly swollen)

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Slight dizziness

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Mild dizziness

Release 10 — day 0, dose 3

2021-12-27

Systemic reaction (other): feeling hot

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): swollen lymph node in left armpit since yesterday

2021-12-30

Systemic reaction (other): Lymph node in left armpit still slightly swollen

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Feeling feverish and fatigued today, currently at 99.2F.

Release 11 — day 21, dose 3

2022-01-21

Symptoms: Ran a fever on and off for a couple days and was fatigued, tested negative with home test. Had what may have been food poisoning (really bad diarrhea) over the weekend.

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	Body temperature increased	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tongue blistering	✓	✓	✓
SRO	Tongue eruption	✓	✓	✓

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