66B-16800-71499

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 122 / NY
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Pain in extremity — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pronounced achiness on bottoms of feet and palms; brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal discomfort, Nasal dryness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dryness, irritation inside nostrils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dry eye, Nasal dryness, Pruritus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dryness and itchiness inside nose and eyes; also itchiness inside ears (forgot to mention this the past 2 days)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Ear pruritus, Eye irritation, Eye pruritus, Feeling abnormal, Nasal discomfort, Nasal pruritus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Brain fog (which I failed to mention the past few days); still have itchiness and irritation in nostrils, eyes, and ears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Headache, Nasal discomfort, Nasal pruritus, Self-medication — Feeling: Fair · Fatigue or tiredness

Free text: Irritation and itchiness in nose, eyes and ears still problematic (taking Claritin helped bu just as bad when that wore off); brain fog 90% better. Slight headache but I think thats postural so I didnt check it above.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability, Pruritus — Feeling: Good

Free text: Still have itchiness and irritation in nostrils, ears, eyes, mouth, lips. This started the evening after injection and hasnt let up. Claritin only slightly relieving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 1
MedDRA: Feeling abnormal, Inflammation, Pruritus — Feeling: Good

Free text: Inflammation and itchiness in nose starting to resolve application of MediHoney. Eyes and ears ok. No more brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Ear pruritus, Eye irritation, Eye pruritus, Nasal discomfort, Nasal pruritus, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Return of irritation and itchiness in nostrils, eyes, ears; aching on palms and soles of feet... similar to last time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Ear pruritus, Eye irritation, Eye pruritus, Nasal discomfort, Nasal pruritus, Pain in extremity — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Itchiness and irritation in nostrils, eyes, ear canals; sore palms and soles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Eye pruritus, Nasal discomfort, Nasal irrigation, Nasal pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Irritation and itchiness in nostrils, eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal discomfort — Feeling: Good · Site: Pain

Free text: Nasal irritation, a bit better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Pronounced achiness on bottoms of feet and palms; brain fog

2021-03-09

Systemic reaction (other): Dryness, irritation inside nostrils

2021-03-10

Systemic reaction (other): Dryness and itchiness inside nose and eyes; also itchiness inside ears (forgot to mention this the past 2 days)

2021-03-11

Systemic reaction (other): Brain fog (which I failed to mention the past few days); still have itchiness and irritation in nostrils, eyes, and ears.

2021-03-12

Systemic reaction (other): Irritation and itchiness in nose, eyes and ears still problematic (taking Claritin helped bu just as bad when that wore off); brain fog 90% better. Slight headache but I think thats postural so I didnt check it above.

2021-03-13

Systemic reaction (other): Still have itchiness and irritation in nostrils, ears, eyes, mouth, lips. This started the evening after injection and hasnt let up. Claritin only slightly relieving.

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Inflammation and itchiness in nose starting to resolve application of MediHoney. Eyes and ears ok. No more brain fog.

Release 6 — day 0, dose 2

2021-03-28

Systemic reaction (other): Return of irritation and itchiness in nostrils, eyes, ears; aching on palms and soles of feet... similar to last time.

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Itchiness and irritation in nostrils, eyes, ear canals; sore palms and soles

2021-03-30

Systemic reaction (other): Irritation and itchiness in nostrils, eyes

2021-03-31

Systemic reaction (other): Nasal irritation, a bit better today

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
SRO	Dry eye	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Nasal dryness	✓	✓	✓
SRO	Nasal irrigation	○	✓	○
SRO	Nasal pruritus	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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