64M-31484-16481

4 vaccinations 15 coded responses 39 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 028 / RI
Registered: 2021-05-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

2LH-22975-34849 Child or adolescent in my care · Male · 2021-11-17

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-22
Dose 1 — Pfizer-BioNTech
2021-05-13
Registered in v-safe
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation, Urticaria — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Inflamed feeling throughout/histamine signs but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nasal congestion, Tension, Upper-airway cough syndrome — Feeling: Good · Site: Pain

Free text: Some dizzy but likely from neck/shldr tension..also postnasal drip and stuffy likely pollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Good · Abdominal pain

Free text: Gassy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 21, dose 2
MedDRA: Arthralgia, Palpitations — Feeling: Fair

Free text: Heart palpitations achy joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Acupuncture, Massage, Muscle tightness, Neuralgia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: High nerve pain and tight muscles · Healthcare visit (other): Acupuncture and massage therapist

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-12
Call 1 — Left Voicemail
2021-11-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation delayed — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Got period last nite after vax..was overdue for it by cpl wks

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Headache, Night sweats, Oedema peripheral, Pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Sore swelling armpit area of vax arm..night sweats overnite after lots achy by 30hrs out..after exercise this am headache only symptom left 48hrs out

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling

Free text: Armpit area still tho less today 72hr out

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Survey response — day 14, dose 3
MedDRA: Feeling hot, Hot flush, Night sweats — Feeling: Good

Free text: Really warm hot flash/sweat sensation last night for about 15minutes

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-22
Dose 4 — Pfizer-BioNTech
2022-11-22
Survey response — day 0, dose 4
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Arm soreness/stiffening noticeable by 12hr later

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-27
Survey response — days 1–6 daily, dose 4
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Postnasal drip past few days

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-27
Survey response — day 35, dose 4
MedDRA: Abdominal discomfort, Abdominal distension, Abdominal pain, Dyspepsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: GI upset..bloat crampy heartburn and headache

MedDRA releases: 2024-11 · check-in free text available
2023-01-03
Survey response — day 42, dose 4
MedDRA: Dyspepsia, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-22
Survey response — 3 months, dose 4
MedDRA: Office visit, Oropharyngeal pain, Pyrexia, Upper respiratory tract infection, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-22
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-23
Call 1 — Left Voicemail
2023-05-23
Survey response — 6 months, dose 4
MedDRA: Abdominal pain upper — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	No
4	2022-11-22	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Inflamed feeling throughout/histamine signs but no fever

2021-05-16

Systemic reaction (other): Some dizzy but likely from neck/shldr tension..also postnasal drip and stuffy likely pollen

2021-05-18

Systemic reaction (other): Gassy

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Heart palpitations achy joints

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: High nerve pain and tight muscles

Healthcare visit (other): Acupuncture and massage therapist

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Got period last nite after vax..was overdue for it by cpl wks

2021-12-11

Systemic reaction (other): Sore swelling armpit area of vax arm..night sweats overnite after lots achy by 30hrs out..after exercise this am headache only symptom left 48hrs out

2021-12-12

Systemic reaction (other): Armpit area still tho less today 72hr out

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Really warm hot flash/sweat sensation last night for about 15minutes

Release 12 — day 0, dose 4

2022-11-22

Systemic reaction (other): Arm soreness/stiffening noticeable by 12hr later

Release 12 — days 1–6 daily, dose 4

2022-11-27

Systemic reaction (other): Postnasal drip past few days

Release 12 — day 35, dose 4

2022-12-27

Symptoms: GI upset..bloat crampy heartburn and headache

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
HCVO	Acupuncture	·	·	✓
HCVO	Massage	·	·	✓
HCVO	Office visit	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Feeling hot	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hot flush	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Neuralgia	·	·	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Inflammation	✓	✓	✓
SRO	Menstruation delayed	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Night sweats	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Tension	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Upper-airway cough syndrome	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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