5MV-44210-56821

4 vaccinations 11 coded responses 36 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 484 / MI
Registered: 2021-04-18

Relationship: Self
Race: Multiracial
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

2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-18
Registered in v-safe
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: 1st day 4 hours after shot had diarrhea several times til 9pm that evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My left arm received the injection and now has swollen lymph nodes in that arm pit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday's temp was 100.2* F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lymph nodes swollen in arm pit and neck on side of injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Groin pain, Lymphadenopathy, Neck pain — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Free text: Still have swollen lymph nodes in left arm pit, left side of neck and discovered in both rt and lt groins. Slightly painful to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes are still swollen in lt. Arm pit, lt side of neck and lt and rt groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Lymth nodes less swollen, less tender to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Back pain, Diarrhoea, Fatigue, Flank pain, Renal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flank pain, lower back pain. 99.4 temp., fatigue, still have swollen lymph nodes. Following the on and off dirrhea for 2 weeks following the first shot. Have dr eloped a kidney infection. I have not felt good since the day after the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-19
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Kidney infection, Reaction to previous exposure to any vaccine, Renal pain — Feeling: Good

Free text: I thought i was over the kidney infection. But after 3 days without the antibiotics my kidneys were starting to hirt again. So now im back on antibiotics. This infection is from the 3 weeks of diarrhea following the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Pfizer-BioNTech
2022-05-09
Dose 4 — Pfizer-BioNTech
Co-administered: Pneumonia
2022-05-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-13
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Free text: Fatigue, lymph nodes in neck and arm pits swollen. Fofgot to mention on previous days

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Lymph node pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fatigue. Lymph nodes not as tender to touch today.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-09
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No
4	2022-05-09	Pfizer-BioNTech	Pneumonia

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): 1st day 4 hours after shot had diarrhea several times til 9pm that evening.

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): My left arm received the injection and now has swollen lymph nodes in that arm pit.

2021-05-10

Systemic reaction (other): Yesterday's temp was 100.2* F

2021-05-11

Systemic reaction (other): Lymph nodes swollen in arm pit and neck on side of injection.

2021-05-12

Systemic reaction (other): Still have swollen lymph nodes in left arm pit, left side of neck and discovered in both rt and lt groins. Slightly painful to touch.

2021-05-13

Systemic reaction (other): Lymph nodes are still swollen in lt. Arm pit, lt side of neck and lt and rt groin

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Lymth nodes less swollen, less tender to touch.

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Flank pain, lower back pain. 99.4 temp., fatigue, still have swollen lymph nodes. Following the on and off dirrhea for 2 weeks following the first shot. Have dr eloped a kidney infection. I have not felt good since the day after the first shot.

Release 9 — day 42, dose 2

2021-06-19

Symptoms: I thought i was over the kidney infection. But after 3 days without the antibiotics my kidneys were starting to hirt again. So now im back on antibiotics. This infection is from the 3 weeks of diarrhea following the first shot.

Release 11 — days 1–6 daily, dose 4

2022-05-13

Systemic reaction (other): Fatigue, lymph nodes in neck and arm pits swollen. Fofgot to mention on previous days

2022-05-14

Systemic reaction (other): Fatigue. Lymph nodes not as tender to touch today.

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	Back pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Kidney infection	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	Renal pain	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Groin pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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