Y5H-21354-70288

3 vaccinations 13 coded responses 38 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 783 / TX
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Diarrhea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: the muscle at injection site had spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: itching in arm pit area of inoculated arm. can not completely extend arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Muscle spasms, Pain, Pruritus — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: itching in armpit in arm the received vaccine. had a throbbing spasm in my right ear overnight on side of vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-01
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness

Free text: still itching in armpit area of arm that received vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Breast pain, Discomfort, Fatigue, Insomnia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My reconstructed breast on the side I had my vax has ached for months. I continue to be tired but have issues sleeping due to breast pain. I can not get comfortable.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-13
Dose 3 — Pfizer-BioNTech
2021-10-13
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: light headed

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-15
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: metalic taste

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: metal taste

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: metal taste

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: metal taste

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: metal taste

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 7, dose 3
MedDRA: Dysgeusia, Gingival pain, Toothache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: metal taste, teeth/gums hurt

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 21, dose 3
Feeling: Fair

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

Adult check-in
2021-11-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-13
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Dysgeusia, Fatigue, Gingival bleeding, Hyperaesthesia teeth, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My gums are bleeding and my teeth are sensitive. The metalic taste is horrible and my crowns on my teeth taste metallic. My muscles and joints hurt. I feel tired.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): the muscle at injection site had spasms

2021-02-24

Systemic reaction (other): itching in arm pit area of inoculated arm. can not completely extend arm

2021-02-25

Systemic reaction (other): itching in armpit in arm the received vaccine. had a throbbing spasm in my right ear overnight on side of vaccine.

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): still itching in armpit area of arm that received vaccine

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: My reconstructed breast on the side I had my vax has ached for months. I continue to be tired but have issues sleeping due to breast pain. I can not get comfortable.

Release 10 — day 0, dose 3

2021-10-13

Systemic reaction (other): light headed

Release 10 — days 1–6 daily, dose 3

2021-10-15

Systemic reaction (other): metalic taste

2021-10-16

Systemic reaction (other): metal taste

2021-10-17

Systemic reaction (other): metal taste

2021-10-18

Systemic reaction (other): metal taste

2021-10-19

Systemic reaction (other): metal taste

Release 10 — day 7, dose 3

2021-10-20

Systemic reaction (other): metal taste, teeth/gums hurt

Release 11 — 6 months, dose 3

2022-04-13

Symptoms: My gums are bleeding and my teeth are sensitive. The metalic taste is horrible and my crowns on my teeth taste metallic. My muscles and joints hurt. I feel tired.

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	Arthralgia	·	·	✓
SD	Breast pain	✓	·	✓
SD	Discomfort	✓	·	✓
SD	Dysgeusia	·	·	✓
SD	Fatigue	✓	·	✓
SD	Gingival bleeding	·	·	✓
SD	Hyperaesthesia teeth	·	·	✓
SD	Insomnia	✓	·	✓
SD	Myalgia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Gingival pain	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Toothache	·	·	✓

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