6W5-13242-75675

4 vaccinations 9 coded responses 36 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 800 / CO
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness

Free text: Moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: The week before my covid vaccination I had a small skin cancer removed from my foot. The day after my injection that area that was removed became red swollen. My dermatologist thinks it may have been a reaction to the vaccine. It is beginning to heal now. Just FYI.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 14, dose 1
MedDRA: Pre-existing disease, Skin cancer — Feeling: Good

Free text: I had a small skin cancer removed before my covid vaccination. After the vaccination it got infected. This week I was treated with levaquin and it is now healing It seems like the vaccination was related to the infection but that is just a guess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Sleep disorder — Feeling: Fair · Site: Pain · Headache

Free text: My right armpit burns like fire woke me during the night

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: Feeling so much better today

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-04-28
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The armpit of the arm that was injected is really sore

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Tenderness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My right armpit is really tender. The same side as injection

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Survey response — day 7, dose 4
MedDRA: Occupational exposure to SARS-CoV-2 — Feeling: Good

Free text: I am a home health RN. Today I was exposed to a COVID positive client. He pulse ox'd 74%. I had on mask, gown, gloves. It will be interesting to see if I test positive in a few days

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Moderate

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): The week before my covid vaccination I had a small skin cancer removed from my foot. The day after my injection that area that was removed became red swollen. My dermatologist thinks it may have been a reaction to the vaccine. It is beginning to heal now. Just FYI.

Release 2 — day 14, dose 1

2021-01-20

Symptoms: I had a small skin cancer removed before my covid vaccination. After the vaccination it got infected. This week I was treated with levaquin and it is now healing It seems like the vaccination was related to the infection but that is just a guess

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): My right armpit burns like fire woke me during the night

2021-10-03

Systemic reaction (other): Feeling so much better today

Release 11 — day 0, dose 4

2022-04-28

Systemic reaction (other): No

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): The armpit of the arm that was injected is really sore

2022-04-30

Systemic reaction (other): My right armpit is really tender. The same side as injection

Release 11 — day 7, dose 4

2022-05-05

Systemic reaction (other): I am a home health RN. Today I was exposed to a COVID positive client. He pulse ox'd 74%. I had on mask, gown, gloves. It will be interesting to see if I test positive in a few days

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	Pre-existing disease	✓	✓	✓
SD	Skin cancer	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Occupational exposure to SARS-CoV-2	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sleep disorder	·	·	✓
SRO	Tenderness	·	·	✓
SRO	Unevaluable event	○	○	○

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