6JW-26101-91357

4 vaccinations 10 coded responses 28 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 549 / WI
Registered: 2021-11-01

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-11-01
Registered in v-safe
2021-11-01
Dose 3 — Pfizer-BioNTech
2021-11-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — 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: Sore lymph nodes under injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain, Oedema peripheral — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Pain and swelling in my armpit (the arm which had the injection. ) The armpit pain is also in part of my arm and side of my breast.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good

Free text: Today, there is still some pain and swelling in the armpit of the injection arm, although there is some improvement from yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Very slight pain in armpit although much improved and no swelling.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Survey response — day 42, dose 3
MedDRA: Body temperature increased, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Good

Free text: It seemed to a cold. Sneezing, congestion, headache, cough, sore throat low grade fever, 100.2. Feeling better, now.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-03
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness exertional — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight dizziness when I walk

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-13
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-03
Survey response — day 35, dose 4
MedDRA: Body temperature increased, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Most days I have a very mild fever--99-100 and some fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-29
Survey response — 12 months, dose 4
MedDRA: COVID-19, Dizziness, Dyspnoea, Palpitations — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-29
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-01
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech	No
2	2021-04-08	Pfizer-BioNTech	No
3	2021-11-01	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Sore lymph nodes under injection arm

2021-11-03

Systemic reaction (other): Pain and swelling in my armpit (the arm which had the injection. ) The armpit pain is also in part of my arm and side of my breast.

2021-11-04

Systemic reaction (other): Today, there is still some pain and swelling in the armpit of the injection arm, although there is some improvement from yesterday.

2021-11-05

Systemic reaction (other): Very slight pain in armpit although much improved and no swelling.

Release 10 — day 42, dose 3

2021-12-13

Symptoms: It seemed to a cold. Sneezing, congestion, headache, cough, sore throat low grade fever, 100.2. Feeling better, now.

Release 11 — days 1–6 daily, dose 4

2022-05-03

Systemic reaction (other): Slight dizziness when I walk

Release 11 — day 14, dose 4

2022-05-13

Symptoms: Fatigue

Release 11 — day 21, dose 4

2022-05-20

Symptoms: Slight sore throat

Release 11 — day 35, dose 4

2022-06-03

Symptoms: Most days I have a very mild fever--99-100 and some fatigue.

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	Body temperature increased	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Dizziness exertional	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Oedema peripheral	·	·	✓

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