5Y7-24000-21142

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 986 / WA
Registered: 2021-03-17

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-17
Registered in v-safe
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pruritus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Muscle spasms, Myalgia, Pre-existing disease, Pyrexia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: I have fibromyalgia. Im concealment of my symptoms reported are FMS and not a reaction. Except the low fever and the periodic muscle aches of yesterday and less times today were more intense than usual. Also, the cramping and diarrhea of yesterday are not usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pain, Pre-existing disease — Feeling: Good · Site: Pain

Free text: I have fibromyalgia. I always have aches and pains. I dont think any are unusual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: I have a big bruise at the injection site!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Malaise — Feeling: Fair

Free text: Brain fog. As I reflect, this has been going on for days but I didnt notice as much because of not feeling my best. Im having trouble with words in crosswords I regular do.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Pain in jaw — Feeling: Good

Free text: Sore glands below my jaw. Brain fog.

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

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-05
Survey response — day 28, dose 3
MedDRA: Hyperhidrosis, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Palpitations and perspiration

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-07
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I got COVID A COUPLE OF MONTHS AGO.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	Flu

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Itching, lightheaded

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I have fibromyalgia. Im concealment of my symptoms reported are FMS and not a reaction. Except the low fever and the periodic muscle aches of yesterday and less times today were more intense than usual. Also, the cramping and diarrhea of yesterday are not usual.

2021-03-21

Systemic reaction (other): I have fibromyalgia. I always have aches and pains. I dont think any are unusual.

2021-03-22

Systemic reaction (other): I have a big bruise at the injection site!

2021-03-23

Systemic reaction (other): Brain fog. As I reflect, this has been going on for days but I didnt notice as much because of not feeling my best. Im having trouble with words in crosswords I regular do.

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Sore glands below my jaw. Brain fog.

Release 10 — day 28, dose 3

2021-11-05

Symptoms: Palpitations and perspiration

Release 12 — 12 months, dose 3

2022-10-07

Symptoms: I got COVID A COUPLE OF MONTHS AGO.

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	COVID-19	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Palpitations	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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