5XR-21119-76344

3 vaccinations 12 coded responses 27 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 286 / NC
Registered: 2021-04-09

Relationship: Self
Race: White
Ethnicity: 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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Heart rate increased — Feeling: Fair · Site: Pain

Free text: I started to feel some fast heart beating than normal and a little pain in my left side of my chest by my heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain

Free text: tickling in the left rear of the back down the left arm

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

Free text: Pain in my knees and joints mostly in my right knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pain in extremity — Feeling: Fair · Site: Pain

Free text: Pain in back side of left arm, pain in the chest by the left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in the chest, and under-pit, left arm where va vaccine was applied

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Axillary pain, Nerve compression, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Pain in armpit on my left arm, pain in left thumb like a pinch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chest pain, Heart rate increased, Pain — Feeling: Fair

Free text: Body and joints lower pain, fast heartbeats sometimes not every day or every minute. Chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain

Free text: Pain by my chest in the left side mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Been tired and sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Good

Free text: Pain in my chest, like pressure on it .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-20
Dose 3 — Pfizer-BioNTech
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-19
Survey response — day 28, dose 3
MedDRA: Chest pain — Feeling: Fair

Free text: Pain I. My chest

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-04-20
Survey response — 12 months, dose 3
MedDRA: Chest pain — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2022-04-20	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): I started to feel some fast heart beating than normal and a little pain in my left side of my chest by my heart

2021-04-10

Systemic reaction (other): tickling in the left rear of the back down the left arm

2021-04-11

Systemic reaction (other): Pain in my knees and joints mostly in my right knee.

2021-04-12

Systemic reaction (other): Pain in back side of left arm, pain in the chest by the left side

2021-04-13

Systemic reaction (other): Pain in the chest, and under-pit, left arm where va vaccine was applied

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Pain in armpit on my left arm, pain in left thumb like a pinch

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Body and joints lower pain, fast heartbeats sometimes not every day or every minute. Chest pain.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Pain by my chest in the left side mild

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Been tired and sleepy

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Pain in my chest, like pressure on it .

Release 11 — day 28, dose 3

2022-05-19

Symptoms: Pain I. My chest

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	Arthralgia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Nerve compression	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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