683-19958-80069

4 vaccinations 14 coded responses 22 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 957 / CA
Registered: 2021-03-18

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

2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Survey response — day 14, dose 1
MedDRA: Allergic respiratory symptom, Dysgeusia, Immediate post-injection reaction, Nasopharyngitis, Swollen tongue — Feeling: Good

Free text: The first few days my tongue felt swollen a little. Immediately after the first dose and for 1-2 weeks following, I had a metal taste in my mouth. Also developed mild cold/allergy type symptoms as well. But overall, great!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 2
MedDRA: Swollen tongue — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: Slightly swollen tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Chills, Diarrhoea, Feeling cold, Pain — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: About 13 hours after the second dose, I experienced severe stomach pain and loose stools (not quite diarrhea but felt like I was on verge of it). Extreme chills - ice cold. Overall body aches and headache (influenza like symptoms). Head fog and dizziness which I experienced a little after the first shot but is extreme day one and two of second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Feeling so much better on day 3!!!! :)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Dyspnoea, Feeling abnormal — Feeling: Good

Free text: Some difficulty breathing (asthma-like), still have head fog and some symptoms from yesterday, but much much better than day two

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Brain fog, Hypoaesthesia, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: I still have a head fog feeling and arm numbness and tingling

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Injected limb mobility decreased, Pain, Pain in extremity, Product administered at inappropriate site — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Horrible shoulder pain. The shot was given higher in my arm than usual (just at base of humeral head) instead of just below it like prior shots. I can't move my arm at all. Horrific pain when I force it with my other arm (assistive movement)

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shoulder/arm pain is much better than yesterday (better than day of shot and day after)

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — day 7, dose 3
MedDRA: Brain fog — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Brain fog still

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 14, dose 3
MedDRA: Back pain, Brain fog, Diarrhoea, Headache, Hypoaesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe mid and low back pain, still have arm numbness in left arm, Brian fog, new headache x2 days (not sure if related), diarrhea still

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 35, dose 3
MedDRA: Injection site hypoaesthesia, Injection site pain, Pain, Product administered at inappropriate site, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm at injection site is still bad and causes pain and numbness with certain movements (recall that last injx was up higher in my arm than usual - more right at base of humeral head vs subcutaneous)

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 42, dose 3
Feeling: Good · Be unable to do your normal daily activities

Free text: Continued arm pain at injection site with numbness and tingling radiating pain, headaches and continued brain fog

Adult check-in · check-in free text available
2022-01-09
Survey response — 3 months, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue and exhaustion, especially with exertion. Also still have head fog

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Brain fog — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still have the brain fog feel and stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Dose 4 — Moderna
Co-administered: Pneumonia
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Head discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog, head pressure

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-05-14	Moderna	Pneumonia

Free text

Release 5 — day 14, dose 1

2021-03-18

Symptoms: The first few days my tongue felt swollen a little. Immediately after the first dose and for 1-2 weeks following, I had a metal taste in my mouth. Also developed mild cold/allergy type symptoms as well. But overall, great!

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): Slightly swollen tongue

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): About 13 hours after the second dose, I experienced severe stomach pain and loose stools (not quite diarrhea but felt like I was on verge of it). Extreme chills - ice cold. Overall body aches and headache (influenza like symptoms). Head fog and dizziness which I experienced a little after the first shot but is extreme day one and two of second shot

2021-03-24

Systemic reaction (other): Feeling so much better on day 3!!!! :)

2021-03-25

Systemic reaction (other): Some difficulty breathing (asthma-like), still have head fog and some symptoms from yesterday, but much much better than day two

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: I still have a head fog feeling and arm numbness and tingling

Release 10 — days 1–6 daily, dose 3

2021-10-11

Systemic reaction (other): Horrible shoulder pain. The shot was given higher in my arm than usual (just at base of humeral head) instead of just below it like prior shots. I can't move my arm at all. Horrific pain when I force it with my other arm (assistive movement)

2021-10-12

Systemic reaction (other): Shoulder/arm pain is much better than yesterday (better than day of shot and day after)

Release 10 — day 7, dose 3

2021-10-23

Systemic reaction (other): Brain fog still

Release 10 — day 14, dose 3

2021-10-26

Symptoms: Severe mid and low back pain, still have arm numbness in left arm, Brian fog, new headache x2 days (not sure if related), diarrhea still

Release 10 — day 35, dose 3

2021-11-14

Symptoms: My arm at injection site is still bad and causes pain and numbness with certain movements (recall that last injx was up higher in my arm than usual - more right at base of humeral head vs subcutaneous)

Release 10 — 3 months, dose 3

2022-01-09

Symptoms: Extreme fatigue and exhaustion, especially with exertion. Also still have head fog

Release 11 — 6 months, dose 3

2022-04-11

Symptoms: Still have the brain fog feel and stomach pain

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): Brain fog, head pressure

Release 12 — day 42, dose 3

2021-11-23

Symptoms: Continued arm pain at injection site with numbness and tingling radiating pain, headaches and continued brain fog

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	Abdominal pain upper	·	·	✓
SD	Allergic respiratory symptom	✓	✓	✓
SD	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Injection site hypoaesthesia	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Product administered at inappropriate site	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Swollen tongue	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Asthma	✓	·	✓
SRO	Brain fog	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Head discomfort	·	·	✓
SRO	Injected limb mobility decreased	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Product administered at inappropriate site	·	·	✓
SRO	Swollen tongue	✓	✓	✓

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