67H-12545-50970

5 vaccinations 13 coded responses 53 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 129 / NY
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Joint pains

Free text: Injection site bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Joint pains

Free text: Injection site bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Joint pains

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Injection site bruising — Feeling: Good · Joint pains

Free text: Bruising at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right hip pain severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Nightmare — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Every night after vaccination, I have nightmares.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling · Headache · Be unable to do your normal daily activities

Adult check-in
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Pfizer-BioNTech
2022-09-22
Health check-in — day 0, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Ocular hyperaemia — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blood shot right eye

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 5
MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bloodshot right eye less today

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Survey response — day 7, dose 5
MedDRA: Eye irritation, Eye pain, Headache, Self-medication — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Today I took 2 Excedrin for headache. Eye pain in both eyes last evening: has to use Genteal OTC eye drops to alleviate intense burning .

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 21, dose 5
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 42, dose 5
MedDRA: Dermatitis acneiform, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: A few itchy pimple like eruptions.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-23
Survey response — 6 months, dose 5
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-09-22	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Injection site bruise

2021-01-25

Systemic reaction (other): Injection site bruising

2021-01-26

Systemic reaction (other): Bruising at injection site

2021-01-27

Systemic reaction (other): Bruising at injection site

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Bruising at injection site.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Right hip pain severe

2021-02-17

Systemic reaction (other): Every night after vaccination, I have nightmares.

Release 12 — days 1–6 daily, dose 5

2022-09-23

Systemic reaction (other): Blood shot right eye

2022-09-24

Systemic reaction (other): Bloodshot right eye less today

Release 12 — day 7, dose 5

2022-09-29

Systemic reaction (other): Today I took 2 Excedrin for headache. Eye pain in both eyes last evening: has to use Genteal OTC eye drops to alleviate intense burning .

Release 12 — day 21, dose 5

2022-10-13

Symptoms: Headache, joint pain

Release 12 — day 42, dose 5

2022-11-03

Symptoms: A few itchy pimple like eruptions.

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	Arthralgia	·	·	✓
SD	Dermatitis acneiform	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Rash pruritic	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Eye irritation	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Self-medication	·	·	✓

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