669-30864-47067

4 vaccinations 20 coded responses 31 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 482 / MI
Registered: 2021-06-29

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-06-25
Dose 1 — Pfizer-BioNTech
2021-06-29
Registered in v-safe
2021-06-29
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased, Fatigue, Headache, Pain in extremity — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Frm Noon 06/26/21 to 6a 06/28/21 to feel ok. Temp 105.5 all day 06/26/21. Headache, moderate arm pain, tiredness same timeframe. No othr effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-02
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain

Free text: But I thk it's related to my antibiotic arithromizin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Im sweating way more than i used to. Any small exertion and im pouring sweat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Dose 2 — Pfizer-BioNTech
2021-07-16
Survey response — day 21, dose 1
MedDRA: Hyperhidrosis, Injection site pruritus — Feeling: Good

Free text: Itchiness at shot site, only th last few days. Super sweaty whn i do very moderate exertion (e.g. washing dishes). This level of sweating started aftr th 1st shot. And its frm my head. Rest of my body sweats too but not unusually so.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Survey response — day 7, dose 2
MedDRA: Asthenia, Discomfort, Illness, Pruritus — Feeling: Good · Site: Itching · Fever

Free text: 21 hrs (abt 4pm) aftr 2nd shot felt as if someone put a 100lb blanket on me. Thn abt 3am th feeling just went away. 4 days later (abt 730pm) a wave of sickness came over me and i got super weak. Gone by 6am. Today is th first time im hvg itching .

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Survey response — day 14, dose 2
MedDRA: Arthropod bite, Pruritus, Scratch, Swelling face, Urticaria — Feeling: Good

Free text: Ive started hvg itchiness on my face. After scratching there is swelling like a mosquito bite. This happened first yesterday and again today. Welt frm yesterday is gone. Itching lasted only a few seconds but multiple times each day.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Sensory disturbance — Feeling: Fair

Free text: Shortness of breath; phantom wisps across my upper back (as if someone is lightly touching th back of my shoulder) and same feeling along my arms. These episodes don't last more than a few secs and mb once a day.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — day 42, dose 2
MedDRA: Hyperhidrosis, Urinary hesitation — Feeling: Fair

Free text: Profuse sweating frm any exertion.Unable to urinate continuously. There is a delay of up to a couple minutes b4 stream.continues

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-12
Survey response — 6 months, dose 2
MedDRA: Chills, Increased upper airway secretion, Throat irritation — Feeling: Fair

Free text: Scratchy throat, chills, same mucus-stuck-in-my-throat issue as well.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Dose 3 — Pfizer-BioNTech
2022-07-12
Survey response — days 1–6 daily, dose 3
MedDRA: Dry eye, Eye pruritus — Feeling: Good · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Very itchy eyes 07/11/12. Not so much today (07/12/22) but my dry eyes are needing more than usual lunricant

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — days 1–6 daily, dose 3
MedDRA: Eyelids pruritus — Feeling: Good · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: Itchy eylids

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-15
Health check-in — day 7, dose 3
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2022-07-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-29
Survey response — day 21, dose 3
MedDRA: Increased upper airway secretion — Feeling: Good

Free text: Throat phleghm has increased

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — day 28, dose 3
MedDRA: Increased upper airway secretion — Feeling: Good

Free text: Throat phlegm is a little worse.

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Unevaluable event — Feeling: Fair

Free text: Coughing awake Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Survey response — day 42, dose 3
MedDRA: Ageusia, Cheilitis, Paraesthesia oral — Feeling: Good

Free text: Tiny bumps hv developed on my upper lip, on each side. It may b sn allergic reaction but ive bn rating nothing different. Also entire lip area tingles. Additionally, ive stared losing sense of taste.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Dose 4 — Pfizer-BioNTech
2022-11-08
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-14
Survey response — day 14, dose 4
MedDRA: Body temperature increased, Headache, Increased upper airway secretion, Throat clearing, Vocal cord disorder — Feeling: Good

Free text: Headaches everyday since recvg th 2nd booster. Body temp is warmer, only a light sweater in 37degree weather... Throat phlegm is clearing and scratched vocal chords are nearly 50% better

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-05
Survey response — day 35, dose 4
MedDRA: Dyspnoea, Headache — Feeling: Good

Free text: Shortness of breath Headache

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Survey response — day 42, dose 4
MedDRA: Body temperature increased, Cough, Dyspnoea, Headache, Increased upper airway secretion — Feeling: Good

Free text: Warmer body temperature, more throat phlegm, increased shortness of breath, more coughing, headaches at least twice a week

MedDRA releases: 2024-11 · check-in free text available
2023-02-02
Survey response — 3 months, dose 4
MedDRA: Injection site pain, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-05-01
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Limb mass, Pre-existing disease, Skin discolouration — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-01
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-02
Call 1 — Left Voicemail
2023-05-05
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-25	Pfizer-BioNTech	No
2	2021-07-14	Pfizer-BioNTech	No
3	2022-07-08	Pfizer-BioNTech	No
4	2022-10-31	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-29

Systemic reaction (other): Frm Noon 06/26/21 to 6a 06/28/21 to feel ok. Temp 105.5 all day 06/26/21. Headache, moderate arm pain, tiredness same timeframe. No othr effects.

Release 9 — day 7, dose 1

2021-07-02

Systemic reaction (other): But I thk it's related to my antibiotic arithromizin

Release 9 — day 14, dose 1

2021-07-12

Symptoms: Im sweating way more than i used to. Any small exertion and im pouring sweat

Release 9 — day 21, dose 1

2021-07-16

Symptoms: Itchiness at shot site, only th last few days. Super sweaty whn i do very moderate exertion (e.g. washing dishes). This level of sweating started aftr th 1st shot. And its frm my head. Rest of my body sweats too but not unusually so.

Release 9 — day 7, dose 2

2021-07-23

Systemic reaction (other): 21 hrs (abt 4pm) aftr 2nd shot felt as if someone put a 100lb blanket on me. Thn abt 3am th feeling just went away. 4 days later (abt 730pm) a wave of sickness came over me and i got super weak. Gone by 6am. Today is th first time im hvg itching .

Release 9 — day 14, dose 2

2021-07-28

Symptoms: Ive started hvg itchiness on my face. After scratching there is swelling like a mosquito bite. This happened first yesterday and again today. Welt frm yesterday is gone. Itching lasted only a few seconds but multiple times each day.

Release 9 — day 35, dose 2

2021-08-18

Symptoms: Shortness of breath; phantom wisps across my upper back (as if someone is lightly touching th back of my shoulder) and same feeling along my arms. These episodes don't last more than a few secs and mb once a day.

Release 9 — day 42, dose 2

2021-08-25

Symptoms: Profuse sweating frm any exertion.Unable to urinate continuously. There is a delay of up to a couple minutes b4 stream.continues

Release 10 — 6 months, dose 2

2022-01-12

Symptoms: Scratchy throat, chills, same mucus-stuck-in-my-throat issue as well.

Release 12 — days 1–6 daily, dose 3

2022-07-12

Systemic reaction (other): Very itchy eyes 07/11/12. Not so much today (07/12/22) but my dry eyes are needing more than usual lunricant

2022-07-13

Systemic reaction (other): Itchy eylids

Release 12 — day 21, dose 3

2022-07-29

Symptoms: Throat phleghm has increased

Release 12 — day 28, dose 3

2022-08-05

Symptoms: Throat phlegm is a little worse.

Release 12 — day 35, dose 3

2022-08-12

Symptoms: Coughing awake Shortness of breath

Release 12 — day 42, dose 3

2022-08-19

Symptoms: Tiny bumps hv developed on my upper lip, on each side. It may b sn allergic reaction but ive bn rating nothing different. Also entire lip area tingles. Additionally, ive stared losing sense of taste.

Release 12 — day 14, dose 4

2022-11-14

Symptoms: Headaches everyday since recvg th 2nd booster. Body temp is warmer, only a light sweater in 37degree weather... Throat phlegm is clearing and scratched vocal chords are nearly 50% better

Release 12 — day 35, dose 4

2022-12-05

Symptoms: Shortness of breath Headache

Release 12 — day 42, dose 4

2022-12-12

Symptoms: Warmer body temperature, more throat phlegm, increased shortness of breath, more coughing, headaches at least twice a week

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	Ageusia	·	·	✓
SD	Arthropod bite	✓	·	✓
SD	Body temperature increased	·	·	✓
SD	Cheilitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	○	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Increased upper airway secretion	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	✓	·	✓
SD	Limb mass	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia oral	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Scratch	✓	·	✓
SD	Sensory disturbance	✓	·	✓
SD	Skin discolouration	·	·	✓
SD	Swelling face	✓	·	✓
SD	Throat clearing	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary hesitation	✓	·	✓
SD	Urticaria	✓	·	✓
SD	Vocal cord disorder	·	·	✓
SRO	Asthenia	✓	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Discomfort	✓	·	✓
SRO	Dry eye	·	·	✓
SRO	Eye pruritus	·	·	✓
SRO	Eyelids pruritus	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Illness	✓	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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