5Y6-16870-96945

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 027 / MA
Registered: 2021-04-05

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have other health conditions with some of the side effects listed above. The ones I've chosen are more pronounced since I received the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair

Free text: I do have some of these symptoms listed above but I do not think they are related to the vaccine rather my underlying medical conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Be unable to work

Free text: While I have many of those symptoms, they are from other medical conditions. I consider myself as not having any adverse reaction to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school

Free text: The symptoms I have listed above are not due to covet but preexisting medical conditions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Be unable to work

Free text: Any symptoms listed above are due to pre-existing medical conditions and not related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Survey response — day 0, dose 2
MedDRA: Ear pain — Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Severe earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: General symptom, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have other health conditions that pay symptoms could be contributed to. However the symptoms I have are increased since having the second injection and are not my base line

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck and right ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: I am back to baseline with all of my usual aches and pains and such

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: These are all symptoms I had pre vaccine and I am back to the baseline. After the second injection these symptoms were aggravated and much increased compared to my baseline.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: These symptoms are related to previously existing conditions and are back to baseline after having the second covid-19 injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: The symptoms that I have that around this list are due to underlying medical conditions and are at my baseline from prior to the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): I have other health conditions with some of the side effects listed above. The ones I've chosen are more pronounced since I received the vaccine

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I do have some of these symptoms listed above but I do not think they are related to the vaccine rather my underlying medical conditions

2021-04-07

Systemic reaction (other): While I have many of those symptoms, they are from other medical conditions. I consider myself as not having any adverse reaction to the vaccine

2021-04-08

Systemic reaction (other): The symptoms I have listed above are not due to covet but preexisting medical conditions.

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): Any symptoms listed above are due to pre-existing medical conditions and not related to the vaccine

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Severe earache

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): I have other health conditions that pay symptoms could be contributed to. However the symptoms I have are increased since having the second injection and are not my base line

2021-05-06

Systemic reaction (other): Neck and right ear pain

2021-05-07

Systemic reaction (other): I am back to baseline with all of my usual aches and pains and such

2021-05-08

Systemic reaction (other): These are all symptoms I had pre vaccine and I am back to the baseline. After the second injection these symptoms were aggravated and much increased compared to my baseline.

2021-05-09

Systemic reaction (other): These symptoms are related to previously existing conditions and are back to baseline after having the second covid-19 injection

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): The symptoms that I have that around this list are due to underlying medical conditions and are at my baseline from prior to the injection.

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	Adverse reaction	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	General symptom	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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