5RG-16299-06559

3 vaccinations 20 coded responses 39 check-ins 20 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 618 / IL
Registered: 2021-02-05

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

2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Pain radiating into left side of upper chest and into nape of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still some neck and left chest pain, less than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Injection site pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Soreness at injection site, still some chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Injection site pain — Feeling: Good · Site: Pain · Headache

Free text: Chest pain. Slightly sore at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Chest pain, Injection site pain — Feeling: Good

Free text: Left chest pain is increased and happens more frequently. Some residual soreness at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Numbness in arm to fingers that injection was given in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Angina pectoris, Back pain, Chest pain, Hyperventilation, Musculoskeletal pain, Painful respiration — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Left sided chest pain over heart and sternum and middle of back just below shoulder blade line, especially when taking deeper breaths.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still chest pain over heart but not as severe today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Decreased appetite — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: No appetite. Left side chest pain, less than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Left chest pain, swollen lymph nodes in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Lymph node pain, Taste disorder, Unevaluable event — Feeling: Fair

Free text: Change in taste. Lymph nodes sore in arms, chest, abdomen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Amnesia — Feeling: Good

Free text: Decreased memory and processing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Cough, Pre-existing disease, Sneezing — Feeling: Good

Free text: Allergy related - more sneezing and coughing, chest tightness than usual.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory disorder — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Change in breathing, urge to take deep breaths periodically

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Lymphadenopathy, Pain in extremity, Respiratory disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain and unusual breathing, swollen lymph nodes under arm injected. Aching in upper arm to elbow.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Chest pain, Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Chest discomfort with breathing and chest pain. Nasal congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Cough — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Chest discomfort, cough (yesterday too, forgot to report it then)

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Feeling hot, Night sweats — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hot at night with some sweating, still chest discomfort

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-01-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 21, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

Free text: Fatigue, sore throat

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

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Survey response — day 42, dose 3
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sneezing, runny nose, occasional cough

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-12-30	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Pain radiating into left side of upper chest and into nape of neck

2021-02-06

Systemic reaction (other): Still some neck and left chest pain, less than yesterday

2021-02-09

Systemic reaction (other): Soreness at injection site, still some chest pain

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Chest pain. Slightly sore at injection site

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Left chest pain is increased and happens more frequently. Some residual soreness at injection site.

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Numbness in arm to fingers that injection was given in

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Left sided chest pain over heart and sternum and middle of back just below shoulder blade line, especially when taking deeper breaths.

2021-02-27

Systemic reaction (other): Still chest pain over heart but not as severe today

2021-02-28

Systemic reaction (other): No appetite. Left side chest pain, less than yesterday.

2021-03-01

Systemic reaction (other): Left chest pain, swollen lymph nodes in arm

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Change in taste. Lymph nodes sore in arms, chest, abdomen.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Decreased memory and processing.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Allergy related - more sneezing and coughing, chest tightness than usual.

Release 10 — days 1–6 daily, dose 3

2021-12-31

Systemic reaction (other): Change in breathing, urge to take deep breaths periodically

2022-01-01

Systemic reaction (other): Chest pain and unusual breathing, swollen lymph nodes under arm injected. Aching in upper arm to elbow.

2022-01-02

Systemic reaction (other): Chest discomfort with breathing and chest pain. Nasal congestion.

2022-01-03

Systemic reaction (other): Chest discomfort, cough (yesterday too, forgot to report it then)

2022-01-04

Systemic reaction (other): Hot at night with some sweating, still chest discomfort

Release 10 — day 21, dose 3

2022-01-20

Symptoms: Fatigue, sore throat

Release 11 — day 42, dose 3

2022-02-10

Symptoms: Sneezing, runny nose, occasional cough

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	Amnesia	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	·	✓
SD	Fatigue	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Lymph node pain	✓	✓	○
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	·	✓
SD	Taste disorder	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Angina pectoris	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Hyperventilation	○	✓	○
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Night sweats	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Painful respiration	✓	·	✓
SRO	Respiratory disorder	·	·	✓

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