6Y9-13254-79133

5 vaccinations 10 coded responses 46 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 773 / TX
Registered: 2021-03-15

Relationship: Self
Race: Asian
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

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-16
Survey response — day 7, dose 1
MedDRA: Blood pressure increased — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Blood pressure 152/84, usually under 120/80.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — day 0, dose 2
MedDRA: Lip swelling — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches

Free text: Puffy lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feverlike burning around eyes, but not fever temp.

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

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

Adult check-in
2021-04-06
Survey response — day 7, dose 2
MedDRA: Injection site bruising, Injection site discolouration — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Yellow bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Depression, Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Noticeable depression, noticed by self and family. Lack of interest in living, but not enough to put in the effort to end life. Looking back it started being more than fatigue about 2 weeks after 1st shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 35, dose 2
MedDRA: Anger, Anxiety, Headache, Mood altered — Feeling: Fair

Free text: Intermittent headaches, mood changes between anxiety and anger.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Decreased appetite, Dyspnoea, Fatigue, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Intermittant headaches at different places on head, intermittent nausea, some appetite loss, fatigue, shortness of breath, chest discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
Co-administered: Flu
2021-11-09
Health check-in — day 0, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — day 7, dose 3
Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-23
Survey response — day 14, dose 3
MedDRA: Chest discomfort, Dyspnoea, Dyspnoea exertional, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath, chest feels heavy and full, have to stop to breathe after walking 20 feet or so, feverish

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Ear pain, Headache, Palpitations, Pyrexia, Sputum discoloured — Feeling: Fair

Free text: Fever, headache, heart racing, earaches, yellow and green nose mucus

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-14
Dose 4 — Pfizer-BioNTech
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-20
Survey response — days 1–6 daily, dose 4
MedDRA: Dry eye, Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Dry eyes, itchy skin

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-02
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2023-01-12
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-08
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-11-09	Moderna	Flu
4	2022-07-14	Pfizer-BioNTech	No
5	2022-11-02	Pfizer-BioNTech	Flu

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Blood pressure 152/84, usually under 120/80.

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Puffy lips

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Feverlike burning around eyes, but not fever temp.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Yellow bruise at injection site

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Noticeable depression, noticed by self and family. Lack of interest in living, but not enough to put in the effort to end life. Looking back it started being more than fatigue about 2 weeks after 1st shot.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Intermittent headaches, mood changes between anxiety and anger.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Intermittant headaches at different places on head, intermittent nausea, some appetite loss, fatigue, shortness of breath, chest discomfort.

Release 10 — day 14, dose 3

2021-11-23

Symptoms: Shortness of breath, chest feels heavy and full, have to stop to breathe after walking 20 feet or so, feverish

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: Fever, headache, heart racing, earaches, yellow and green nose mucus

Release 12 — days 1–6 daily, dose 4

2022-07-20

Systemic reaction (other): Dry eyes, itchy skin

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	Anger	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Mood altered	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dry eye	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pruritus	·	·	✓

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