5X6-15940-90597

5 vaccinations 18 coded responses 64 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 333 / FL
Registered: 2021-05-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

HCL-28219-26147 Other · Male · 2022-01-22

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-09
Registered in v-safe
2021-05-09
Dose 1 — Pfizer-BioNTech
2021-05-09
Survey response — day 0, dose 1
MedDRA: Asthenopia, Headache, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Heaviness of the eyes. Frontal headache and stiffness in the neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Dizziness, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Cold sweat, rashes on my arm but away from the injection site. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain in my wrists and ankles, slightly in my knees.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Survey response — day 14, dose 1
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Theres a pain that wont go away in my lower back towards the right.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Dose 2 — Pfizer-BioNTech
2021-05-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pain, Paraesthesia, Spinal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain radiating in my back and spine. Also feels like Im walking on pins and needles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dizziness, Ear discomfort, Nasal congestion, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy spells. Sharp pain in different areas of my body. Coughing. Clogged ears and stuffiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Weird taste in my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Blisters still in my mouth but going away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Spinal 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 having the pain in my spine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Spinal pain — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: The Pain in my spine is still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — day 7, dose 2
MedDRA: Spinal pain — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in my spine is still there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Pfizer-BioNTech
2022-01-22
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Burning sensation in mid to lower back

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Fever · Chills

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fever · Chills, Joint pains

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2022-01-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-31
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-02-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-05
Dose 4 — Pfizer-BioNTech
2022-06-05
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache

Adult check-in
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart Racing

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-06-10
Survey response — days 1–6 daily, dose 4
MedDRA: Dry throat — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dryness in my throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-12
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-22
Dose 5 — Pfizer-BioNTech
2023-01-23
Survey response — days 1–6 daily, dose 5
MedDRA: Abdominal pain upper, Back pain, Headache — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

MedDRA releases: 2024-11
2023-01-25
Survey response — days 1–6 daily, dose 5
MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-26
Survey response — days 1–6 daily, dose 5
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-27
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

MedDRA releases: 2024-11
2023-01-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2023-01-29
Health check-in — day 7, dose 5
Feeling: Good · Chills, Headache

Adult check-in
2023-02-05
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-02-12
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-02-19
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-02-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-03-05
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-09	Pfizer-BioNTech
2	2021-05-30	Pfizer-BioNTech
3	2022-01-22	Pfizer-BioNTech	No
4	2022-06-05	Pfizer-BioNTech	No
5	2023-01-22	Pfizer-BioNTech	No

Free text

Release 8 — day 0, dose 1

2021-05-09

Systemic reaction (other): Heaviness of the eyes. Frontal headache and stiffness in the neck.

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Cold sweat, rashes on my arm but away from the injection site. Dizziness.

2021-05-12

Systemic reaction (other): Pain in my wrists and ankles, slightly in my knees.

Release 8 — day 14, dose 1

2021-05-23

Symptoms: Theres a pain that wont go away in my lower back towards the right.

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Pain radiating in my back and spine. Also feels like Im walking on pins and needles.

2021-06-01

Systemic reaction (other): Dizzy spells. Sharp pain in different areas of my body. Coughing. Clogged ears and stuffiness.

2021-06-02

Systemic reaction (other): Weird taste in my mouth.

2021-06-03

Systemic reaction (other): Blisters still in my mouth but going away.

2021-06-04

Systemic reaction (other): Still having the pain in my spine.

2021-06-05

Systemic reaction (other): The Pain in my spine is still there.

Release 8 — day 7, dose 2

2021-06-06

Systemic reaction (other): Pain in my spine is still there

Release 11 — days 1–6 daily, dose 3

2022-01-23

Systemic reaction (other): Burning sensation in mid to lower back

Release 11 — days 1–6 daily, dose 4

2022-06-06

Systemic reaction (other): Heart Racing

Release 12 — days 1–6 daily, dose 4

2022-06-10

Systemic reaction (other): Dryness in my throat

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	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast swelling	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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