6PT-29300-15180

5 vaccinations 12 coded responses 59 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 658 / MO
Registered: 2021-03-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-04
Registered in v-safe
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness

Free text: Allergy season has begun, can be some overlap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Shot spot was suddenly very itchy Saturday evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: I do have tenderness when/if I touch my arm around the shot spot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus, Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: After receiving the 2nd shot the 1st shot spot became itchy. I have/had pea size bumps on both arms.

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 · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Burning sensation, Constipation, Peripheral swelling — Feeling: Good

Free text: My left arm, first shot, has flared up a few times. Mild burning, but no pain. If constipation is a side effect then that also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Breast discomfort, Fatigue, Injection site pain — Feeling: Fair

Free text: The first injection spot is still tender. I've had discomfort in my breasts. Still have fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Mobility decreased, Pain in extremity — Feeling: Good

Free text: I received my second shot in my right arm in April. Sunday June 20 I have pain in my right arm. Difficult to raise, cannot easily bear weight. I have not done anything to have caused this. Probably a coincidence, but wanted to let you know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Dose 3 — Pfizer-BioNTech
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

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

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-13
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Shot spot is tender to touch.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 7, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: Shot spot is tender to the touch.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-28
Survey response — day 21, dose 3
MedDRA: Fatigue, Lymph node pain — Feeling: Fair

Free text: The shot spot remains tender to touch. I still have some fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Tenderness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I have some tenderness if I touch it. But it could be the flu shot. Sorry.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-21
Survey response — 6 months, dose 5
MedDRA: Duodenal ulcer, Self-medication, Upper gastrointestinal haemorrhage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-03-21
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2023-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Allergy season has begun, can be some overlap.

2021-03-07

Systemic reaction (other): Shot spot was suddenly very itchy Saturday evening.

2021-03-08

Systemic reaction (other): I do have tenderness when/if I touch my arm around the shot spot.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): After receiving the 2nd shot the 1st shot spot became itchy. I have/had pea size bumps on both arms.

Release 7 — day 14, dose 2

2021-04-09

Symptoms: My left arm, first shot, has flared up a few times. Mild burning, but no pain. If constipation is a side effect then that also.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: The first injection spot is still tender. I've had discomfort in my breasts. Still have fatigue.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: I received my second shot in my right arm in April. Sunday June 20 I have pain in my right arm. Difficult to raise, cannot easily bear weight. I have not done anything to have caused this. Probably a coincidence, but wanted to let you know.

Release 10 — days 1–6 daily, dose 3

2021-10-13

Systemic reaction (other): Shot spot is tender to touch.

Release 10 — day 7, dose 3

2021-10-14

Systemic reaction (other): Shot spot is tender to the touch.

Release 10 — day 21, dose 3

2021-10-28

Symptoms: The shot spot remains tender to touch. I still have some fatigue.

Release 12 — days 1–6 daily, dose 5

2022-09-23

Systemic reaction (other): I have some tenderness if I touch it. But it could be the flu shot. Sorry.

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	Breast discomfort	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Duodenal ulcer	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Upper gastrointestinal haemorrhage	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Tenderness	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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