5Y4-32684-87989

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-03-20

Relationship: Self
Race: Black or African American
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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Feeling hot, Headache, Influenza, Pre-existing disease — Feeling: Good

Free text: Because I have MS sensations have been very subtle, heat in the body but no fever, I had slight pain in the head but not a headache, slight ache around lower back & hips. kind of life very subtle flu symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: the headache was intermitent - it did not last all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Dizziness, Gait disturbance — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: dizziness, had a hard time getting up to walk - felt like I was being dragged down by gravity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: high blood sugars since y first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: blood sugars are still almost twice as normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: higher than usual blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Site: Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea

Free text: still high blood sugars since the vaccine shots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 14, dose 2
MedDRA: Blood glucose increased — Feeling: Good

Free text: my blood sugars continue to be very high since I took the COVID vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Headache, Multiple sclerosis, Ocular hyperaemia, Pain, Pre-existing disease, Vision blurred — Feeling: Good

Free text: MS flareup in July September: red blurry eyes, weird headaches, very slight aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Because I have MS sensations have been very subtle, heat in the body but no fever, I had slight pain in the head but not a headache, slight ache around lower back & hips. kind of life very subtle flu symptoms

2021-03-23

Systemic reaction (other): the headache was intermitent - it did not last all day

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): dizziness, had a hard time getting up to walk - felt like I was being dragged down by gravity

2021-04-14

Systemic reaction (other): high blood sugars since y first shot

2021-04-15

Systemic reaction (other): blood sugars are still almost twice as normal

2021-04-16

Systemic reaction (other): higher than usual blood sugars

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): still high blood sugars since the vaccine shots

Release 7 — day 14, dose 2

2021-04-24

Symptoms: my blood sugars continue to be very high since I took the COVID vaccines.

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: MS flareup in July September: red blurry eyes, weird headaches, very slight aches

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	Blood glucose increased	✓	✓	✓
SD	Headache	·	·	✓
SD	Multiple sclerosis	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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