6EB-31983-43278

4 vaccinations 18 coded responses 27 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 941 / CA
Registered: 2021-02-11

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, dose 2
MedDRA: Ear pain — Feeling: Poor

Free text: The inner inside of both my ears today hurt inside as if i had gone to a loud concert - feels sore and hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 42, dose 2
MedDRA: Bone pain, Dizziness, Eye pain, Eyelid sensory disorder, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair

Free text: Pain in left pelvis/hip bones and pain in left lower leg bonesLightheadedness in the mornings with sore eyesNew numbness in right side of face - eyelid/lower cheek, mouth as before - not real bad but same feelings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Headache, Injection site pain, Pain, Pain in extremity, Tinnitus — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in both hands, in between index/third fingers at the bottom including the knuckle. Ringing in both ears especially at night - headache inside top left of head. Pains in both upper arms,in the injection site - shooting pains sometimes so painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-15
Dose 3 — Pfizer-BioNTech
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Dyspnoea exertional, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Tiredness everyday since the booster shot. Out of breath every day doing anything like walking, cleaning, washing dishes, making the bed, etc. Today - Pain in left thumb knuckle - have to stop to massage the pain away.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-29
Survey response — day 42, dose 3
MedDRA: Dyspnoea exertional, Fatigue, Headache, Pain in extremity, Sneezing, Swelling, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Out of breath doing anything, pain in left side of head, noises in both ears everyday and night, pains in both hands, hard sneezes as I never hardly sneeze, Wake up every morning very tired with both eyes feeling swollen inside

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Dyspnoea, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Shortness of breath since booster shot of 8/15/21 Pains in both hands, fingers/knuckles

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — 6 months, dose 3
MedDRA: Dyskinesia, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Both hands, my fingers move on their own at times during the past 2-3 weeks - scares me, my right arm goes kind of numb like and buzzy at times as well

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Exophthalmos, Eye pain — Feeling: Good · Site: Redness, Swelling

Free text: Eyes feel sore and bulgy

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal pain upper, Back pain, Eye pain, Fatigue, Hypoaesthesia — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Pain behind both eyes, hard pain in stomach but went away after a few minutes, fatigue, backache, right fingers/hand numbness

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Blindness transient, Blindness unilateral, Hypoaesthesia — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Woke up, couldn't see out of left eye - blindness disappeared after 3-4 seconds, numbness of hands/fingers, knee joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Back pain, Diarrhoea, Dry mouth, Eye pain, Hypoaesthesia, Lacrimation increased — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Diarrea on 4/16 once but went away, joint pain in both arms different times, numbness in right hand/fingers/lower arm, sore eyes especially left eye watering, bad back ache, sore right knee, dry mouth the past few nights

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Injection site pain, Paraesthesia — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in right arm injection site - pinching pain, terrible fatigue getting up in the morning since getting the shot - very tired and fatigued in the morning

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — day 7, dose 4
MedDRA: Dry mouth, Eye pain, Fatigue, Muscular weakness, Nausea, Pain in extremity, Thirst — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Left hand/fingers weakness, pain behind left eye twice, pain between first two knuckles right hand, nauseous, extremely fatigue and tired mornings, dry mouth/thirsty in early mornings

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 14, dose 4
MedDRA: Arthralgia, Asthenia, Dry mouth, Eye pain, Headache, Hypoaesthesia, Lacrimation increased, Oropharyngeal pain, Paraesthesia, Tinnitus — Feeling: Good · Be unable to do your normal daily activities

Free text: Both eyes watering/sore inside, headaches, loud noise in both ears, sore throat/dry mouth, both hands numb - each at different times/tingling, pain in both knees/weakness

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 21, dose 4
MedDRA: Arthralgia, Back pain, Headache, Hypoaesthesia, Injection site pain, Oropharyngeal pain, Pain in extremity, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Painful lower back pain, knee joint pain, sore throat, numb right hand/wrist/arm, headache, loud noises in both ears, pinching pain in injection site and even pain in the other left arm as if vaccinated there, pain in both hands in right fingers

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 28, dose 4
MedDRA: Arthralgia, Back pain, Headache, Hypoaesthesia, Pain in extremity, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pains, knees/joints hurt/sore, left hand painful thumb hurt/joint twice, pains in right hand/fingers/joints, hard pain in left side of head, numb foot/right leg, loud noises in both ears

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 35, dose 4
MedDRA: Arthralgia, Back pain, Headache, Pain in extremity, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have new right upper back and lower back pain along with pain in lower left back, loud noise in both ears every night, pain in both knees while going to sit, excrutiating pain in left thumb in first knuckle, ongoing headaches

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Headache, Muscular weakness — Feeling: Good

Free text: Pains/weakness in right wrist and headache everyday. Am getting another 3rd booster shot (Pfizer new) on 10/18/22

MedDRA releases: 2024-11 · check-in free text available
2023-04-17
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech
3	2021-08-15	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No

Free text

Release 7 — day 35, dose 2

2021-04-08

Symptoms: The inner inside of both my ears today hurt inside as if i had gone to a loud concert - feels sore and hurts

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Pain in left pelvis/hip bones and pain in left lower leg bonesLightheadedness in the mornings with sore eyesNew numbness in right side of face - eyelid/lower cheek, mouth as before - not real bad but same feelings

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Pain in both hands, in between index/third fingers at the bottom including the knuckle. Ringing in both ears especially at night - headache inside top left of head. Pains in both upper arms,in the injection site - shooting pains sometimes so painful cut off by CDC

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Tiredness everyday since the booster shot. Out of breath every day doing anything like walking, cleaning, washing dishes, making the bed, etc. Today - Pain in left thumb knuckle - have to stop to massage the pain away.

Release 9 — day 42, dose 3

2021-09-29

Symptoms: Out of breath doing anything, pain in left side of head, noises in both ears everyday and night, pains in both hands, hard sneezes as I never hardly sneeze, Wake up every morning very tired with both eyes feeling swollen inside

Release 10 — 3 months, dose 3

2021-11-14

Symptoms: Shortness of breath since booster shot of 8/15/21 Pains in both hands, fingers/knuckles

Release 11 — 6 months, dose 3

2022-02-13

Symptoms: Both hands, my fingers move on their own at times during the past 2-3 weeks - scares me, my right arm goes kind of numb like and buzzy at times as well

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): Eyes feel sore and bulgy

2022-04-18

Systemic reaction (other): Pain behind both eyes, hard pain in stomach but went away after a few minutes, fatigue, backache, right fingers/hand numbness

2022-04-19

Systemic reaction (other): Woke up, couldn't see out of left eye - blindness disappeared after 3-4 seconds, numbness of hands/fingers, knee joint pain

2022-04-20

Systemic reaction (other): Diarrea on 4/16 once but went away, joint pain in both arms different times, numbness in right hand/fingers/lower arm, sore eyes especially left eye watering, bad back ache, sore right knee, dry mouth the past few nights

2022-04-21

Systemic reaction (other): Pain in right arm injection site - pinching pain, terrible fatigue getting up in the morning since getting the shot - very tired and fatigued in the morning

Release 11 — day 7, dose 4

2022-04-22

Systemic reaction (other): Left hand/fingers weakness, pain behind left eye twice, pain between first two knuckles right hand, nauseous, extremely fatigue and tired mornings, dry mouth/thirsty in early mornings

Release 11 — day 14, dose 4

2022-04-29

Symptoms: Both eyes watering/sore inside, headaches, loud noise in both ears, sore throat/dry mouth, both hands numb - each at different times/tingling, pain in both knees/weakness

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Painful lower back pain, knee joint pain, sore throat, numb right hand/wrist/arm, headache, loud noises in both ears, pinching pain in injection site and even pain in the other left arm as if vaccinated there, pain in both hands in right fingers

Release 11 — day 28, dose 4

2022-05-13

Symptoms: Lower back pains, knees/joints hurt/sore, left hand painful thumb hurt/joint twice, pains in right hand/fingers/joints, hard pain in left side of head, numb foot/right leg, loud noises in both ears

Release 11 — day 35, dose 4

2022-05-20

Symptoms: Have new right upper back and lower back pain along with pain in lower left back, loud noise in both ears every night, pain in both knees while going to sit, excrutiating pain in left thumb in first knuckle, ongoing headaches

Release 12 — 6 months, dose 4

2022-10-14

Symptoms: Pains/weakness in right wrist and headache everyday. Am getting another 3rd booster shot (Pfizer new) on 10/18/22

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	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry mouth	·	·	✓
SD	Dyskinesia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Eyelid sensory disorder	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Sneezing	·	·	✓
SD	Swelling	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Blindness transient	·	·	✓
SRO	Blindness unilateral	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Exophthalmos	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Thirst	·	·	✓

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