6PW-24042-71215

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 113 / NY
Registered: 2021-04-16

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

Timeline

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

2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Breast mass, Eye irritation, Gastric pH decreased, Hypoaesthesia — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Nausea, Diarrhea

Free text: Num arms, hands and legs, burning eyes, lump in breast, acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Hypoaesthesia, Hypoaesthesia oral — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Eye itching, num arms and feet, num thongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Survey response — day 7, dose 1
MedDRA: Breast mass, Breast swelling, Eye pruritus, Head discomfort, Hypoaesthesia, Hypoaesthesia oral, Pruritus — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: arms numb, hands numb, tongue numb, breast swelling, breast lump, itching, pressure on my head, eyes itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Chills, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Secretion discharge — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: chest with mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Musculoskeletal discomfort, Office visit, Paraesthesia — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Numbness and needle feeling on legs and arms. Pressure on the neck · Healthcare visit (other): I visited a neurologist who requested an MRI of my brain and spine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Neck pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Neck pain and lymph nodes swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Formication, Hypoaesthesia, Pain in extremity, Vision blurred — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Numb legs, numbs arms and feet. blurred vision, needle pains left snd right thighs, formication sensation on arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Discomfort, Paraesthesia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Pressure in the neck, Legs and arms are tingling, needle feeling on thighs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 28, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Skin hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Acne — Feeling: Good

Free text: Bad acne breakout

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Survey response — 3 months, dose 2
MedDRA: Back pain, Breast mass, Herpes simplex, Pre-existing disease, Pruritus, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Body itching, skin rashes, back pain, lump on right breast, skin break out, herpes uncontrollable.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Breast cancer, Breast mass — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: A lump popped on my breast after i took the pfizer vaccine · Healthcare visit (other): I was diagnosed with breast cancer

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2022-05-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Num arms, hands and legs, burning eyes, lump in breast, acid reflux

2021-04-18

Systemic reaction (other): Eye itching, num arms and feet, num thongue

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): arms numb, hands numb, tongue numb, breast swelling, breast lump, itching, pressure on my head, eyes itching.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): chest with mucus

2021-05-07

Systemic reaction (other): Numbness and needle feeling on legs and arms. Pressure on the neck

Healthcare visit (other): I visited a neurologist who requested an MRI of my brain and spine

2021-05-08

Systemic reaction (other): Neck pain and lymph nodes swallowing

2021-05-09

Systemic reaction (other): Numb legs, numbs arms and feet. blurred vision, needle pains left snd right thighs, formication sensation on arms and legs.

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Pressure in the neck, Legs and arms are tingling, needle feeling on thighs

Release 8 — day 28, dose 2

2021-05-31

Symptoms: Skin hives

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Bad acne breakout

Release 9 — 3 months, dose 2

2021-08-02

Symptoms: Body itching, skin rashes, back pain, lump on right breast, skin break out, herpes uncontrollable.

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: A lump popped on my breast after i took the pfizer vaccine

Healthcare visit (other): I was diagnosed with breast cancer

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
HCVO	Breast cancer	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Acne	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Breast mass	✓	·	✓
SD	Herpes simplex	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	·	✓
SD	Rash	✓	·	✓
SD	Urticaria	✓	✓	✓
SRO	Breast mass	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Formication	✓	✓	✓
SRO	Gastric pH decreased	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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