627-21285-00584

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 152 / PA
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Pfizer-BioNTech
2021-02-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: A bit of an acid stomach for a day or two which may or may not have anything to do with the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 7, dose 1
MedDRA: Gastrooesophageal reflux disease, Herpes simplex, Pre-existing disease — Feeling: Good

Free text: Possibly related to shot, but not necessarily slight acid stomach for two days and mild outbreak of herpes Symplex II

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 14, dose 1
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Since about one week after the shot until present, I have been experiencing increasingly severe insomnia Not a problem that Ive ever dealt with before. I am presuming that it is somehow related to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-21
Survey response — day 0, dose 2
MedDRA: Insomnia, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Moderate to pronounced insomnia; some unexplainef body rashes

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: Insomnia — Feeling: Fair

Free text: Experiencing fairly serious sleeping difficulties/insomnia that started with in several days after the first shot and are getting worse. I take no other meds; therefore, I am attributing this to the shots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Continued insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Fair

Free text: Continued problems with sleeping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Continued Sleeping problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Continued insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia abating.

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
2021-04-11
Survey response — day 21, dose 2
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sleeping problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): A bit of an acid stomach for a day or two which may or may not have anything to do with the shot.

Release 5 — day 7, dose 1

2021-03-07

Systemic reaction (other): Possibly related to shot, but not necessarily slight acid stomach for two days and mild outbreak of herpes Symplex II

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Since about one week after the shot until present, I have been experiencing increasingly severe insomnia Not a problem that Ive ever dealt with before. I am presuming that it is somehow related to the shot.

Release 6 — day 0, dose 2

2021-03-21

Systemic reaction (other): Moderate to pronounced insomnia; some unexplainef body rashes

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Experiencing fairly serious sleeping difficulties/insomnia that started with in several days after the first shot and are getting worse. I take no other meds; therefore, I am attributing this to the shots.

2021-03-24

Systemic reaction (other): Continued insomnia.

2021-03-25

Systemic reaction (other): Continued problems with sleeping.

2021-03-26

Systemic reaction (other): Continued Sleeping problems

2021-03-27

Systemic reaction (other): Continued insomnia

Release 6 — day 7, dose 2

2021-03-28

Systemic reaction (other): Insomnia abating.

Release 7 — day 21, dose 2

2021-04-11

Symptoms: Sleeping problems

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	Insomnia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Herpes simplex	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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