5W6-29621-19781

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 972 / OR
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Lifting my left arm is sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Muscle discomfort, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Not a true muscle pain! Just an achy upper arm! I took 1 Tylenol early this morning. Rest of day, no achy arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Swelling · Muscle or body aches, Abdominal pain

Free text: Excessive coughing/ shortness of breath. Past few days BEFORE Shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling

Free text: Just mild soreness in upper arm. Almost gone today!!

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter, Pre-existing disease — Feeling: Good · Site: Swelling

Free text: Forgot to mention yesterday- Fluttering Heart. I have Congestive heart failure, so weak heart. Seems better today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter, Palpitations — Feeling: Good · Site: Swelling

Free text: Heart was racing/fluttering. Much better today

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter, Peripheral swelling — Feeling: Good · Site: Swelling

Free text: Heart still flutters. Swelling on arm going way down.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac disorder — Feeling: Good

Free text: Heart better today

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Heart not fluttering

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-03	Pfizer-BioNTech	No

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Lifting my left arm is sore

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Not a true muscle pain! Just an achy upper arm! I took 1 Tylenol early this morning. Rest of day, no achy arm

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Excessive coughing/ shortness of breath. Past few days BEFORE Shot

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Just mild soreness in upper arm. Almost gone today!!

2021-09-30

Systemic reaction (other): Forgot to mention yesterday- Fluttering Heart. I have Congestive heart failure, so weak heart. Seems better today.

2021-10-01

Systemic reaction (other): Heart was racing/fluttering. Much better today

2021-10-02

Systemic reaction (other): Heart still flutters. Swelling on arm going way down.

2021-10-03

Systemic reaction (other): Heart better today

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Heart not fluttering

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
SRO	Cardiac disorder	·	·	✓
SRO	Cardiac flutter	·	·	✓
SRO	Limb discomfort	○	✓	○
SRO	Muscle discomfort	✓	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	·	✓
SRO	Unevaluable event	·	·	✓

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