65F-10703-00068

4 vaccinations 10 coded responses 37 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 853 / AZ
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling cold, Somnolence, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feeling cold, sleepiness, blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Nasal discomfort, Oedema peripheral, Pain in jaw, Pruritus, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Jaw pain & itchiness in lower half of face including inside tip of nose, sour taste, runny/burning nose, l-armpit swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Nasal congestion, Oedema peripheral, Pain — Feeling: Good · Site: Pain · Headache

Free text: Swollen l-armpit with mild pain radiating to side of breast, dry-stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Swollen l-armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral, Pruritus — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Itchy face/scalp, swollen l-armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Swelling of armpit on vaccine side

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Good

Free text: Elevated blood glucose for the past 5 days, more than usual at all times

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Survey response — day 28, dose 3
MedDRA: Blood glucose increased — Feeling: Good

Free text: Blood glucose continues to be higher than my usual, from de ~170s before to ~200 after vaccine, fasting

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-10
Dose 4 — Pfizer-BioNTech
2022-09-23
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-09-10	Pfizer-BioNTech	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Feeling cold, sleepiness, blurry vision

2021-01-01

Systemic reaction (other): Jaw pain & itchiness in lower half of face including inside tip of nose, sour taste, runny/burning nose, l-armpit swelling

2021-01-02

Systemic reaction (other): Swollen l-armpit with mild pain radiating to side of breast, dry-stuffy nose

2021-01-03

Systemic reaction (other): Swollen l-armpit

2021-01-04

Systemic reaction (other): Itchy face/scalp, swollen l-armpit

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Swelling of armpit on vaccine side

2021-10-02

Systemic reaction (other): Insomnia

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Elevated blood glucose for the past 5 days, more than usual at all times

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Blood glucose continues to be higher than my usual, from de ~170s before to ~200 after vaccine, fasting

Release 12 — day 7, dose 4

2022-09-23

Systemic reaction (other): No

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	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Blood glucose increased	·	·	✓
SRO	Breast pain	○	○	○
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Lymphadenopathy	○	○	○
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Submaxillary gland enlargement	○	○	○
SRO	Vision blurred	✓	✓	✓

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