66L-49710-78273

4 vaccinations 10 coded responses 32 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 981 / WA
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Mild dizziness but not sure if the vaccine is why

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash with bumps on foot that lasted only 3 hours and went away fully

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Visual field defect — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of peripheral vision for about 30 minutes. Then headache went away and vision came back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Serious fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Ear pain, Headache, Lymphadenopathy, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, headache, earache, swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-02
Dose 3 — Pfizer-BioNTech
2022-04-15
Dose 4 — Moderna
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Shortness of breath. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 21, dose 4
MedDRA: Limb discomfort — Feeling: Fair

Free text: A heaviness feeling in my right arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 28, dose 4
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat. Earache. But so far minor

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-16
Survey response — 3 months, dose 4
MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: Leg pain, numbness and tingling.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Survey response — 12 months, dose 4
MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-11-02	Pfizer-BioNTech	No
4	2022-04-15	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Mild dizziness but not sure if the vaccine is why

2021-04-13

Systemic reaction (other): Rash with bumps on foot that lasted only 3 hours and went away fully

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Loss of peripheral vision for about 30 minutes. Then headache went away and vision came back

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Serious fatigue

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Sore throat, headache, earache, swollen glands

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Shortness of breath. Fatigue

Release 11 — day 21, dose 4

2022-05-06

Symptoms: A heaviness feeling in my right arm

Release 11 — day 28, dose 4

2022-05-13

Symptoms: Sore throat. Earache. But so far minor

Release 12 — 3 months, dose 4

2022-07-16

Symptoms: Leg pain, numbness and tingling.

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	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Limb discomfort	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Visual field defect	✓	✓	✓

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