Y79-20340-11157

4 vaccinations 19 coded responses 41 check-ins 19 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 209 / MD
Registered: 2021-02-27

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: Awoke with bad headache; had headache all day, which is extremely unusual for me.

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

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus pain, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus ache. Upper teeth aches but better at end of day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 28, dose 2
MedDRA: Eyelids pruritus, Swelling of eyelid — Feeling: Good

Free text: Probably unrelated, but my eyelids are itchy & swollen. Maybe due to pollen, though Ive never had a reaction to pollen before. As I age, I seem to be developing more reactions and allergies. Im 66.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal, Hypersomnia, Pain, Pyrexia, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 10/1/2021 Pfizer Covid booster (3rd shot) Noon at Safeway. Midnight felt bad/achy all over; took 1 Alleve. Felt worse Sat 10/2/21 am; temp 99.8 at 9:15am; slept a lot; temp 101.1 2:11pm. One Alleve 2:30pm.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation, Diarrhoea, Haemorrhoids, Pain — Feeling: Poor · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe constipation together WITH diarrhea all day diarrhea approx 10 times) 'til 9pm; so much that caused extremely painful hemorrhoids. BTW, I almost never have constipation (only post surgery due to painkillers). No fever med since Sun (Alleve).

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Gastrointestinal disorder, Oedema peripheral, Swelling — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit-chest tissue swollen under left (injected) arm continues. Noticed 3 days after shot, but may have begun earlier. No pain, just swelling. Forgot to mention til now. Discovered it's a known reaction. Digestive issues improving each day.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 7, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Still swollen under left arm (left arm was the injected arm). No pain, just swollen.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 14, dose 3
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under left arm (armpit swelling) still here. Left upper arm was injected. No pain, just swollen.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 28, dose 3
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under left (injection side) arm is nearly back to normal after 10-10-2021 3rd/booster (Pfizer) shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart racing, palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Heartbeat maybe still a little fluttery

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Odd swelling at left (injection side) armpit-chest

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Oedema peripheral, Swelling — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Armpit-chest swollen on left (injection side). Heart rate seems a bit fast.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Armpit-chest swollen on left (injection side)

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Armpit-chest swollen on left (injection side).

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 7, dose 4
MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea

Free text: Swollen left armpit-chest (injection was on left)

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 14, dose 4
MedDRA: Oedema peripheral, Swelling — Feeling: Good

Free text: Armpit-chest still swollen (left, injection side) but less than previously.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 21, dose 4
MedDRA: Oedema peripheral, Swelling — Feeling: Good

Free text: Swollen armpit-chest on left (injection side).

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-04
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Had Covid 9/5/2022 - 9/14/2022.

MedDRA releases: 2024-11 · check-in free text available
2023-05-05
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-05-04	Pfizer-BioNTech	No

Free text

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Awoke with bad headache; had headache all day, which is extremely unusual for me.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Sinus ache. Upper teeth aches but better at end of day.

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Probably unrelated, but my eyelids are itchy & swollen. Maybe due to pollen, though Ive never had a reaction to pollen before. As I age, I seem to be developing more reactions and allergies. Im 66.

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): 10/1/2021 Pfizer Covid booster (3rd shot) Noon at Safeway. Midnight felt bad/achy all over; took 1 Alleve. Felt worse Sat 10/2/21 am; temp 99.8 at 9:15am; slept a lot; temp 101.1 2:11pm. One Alleve 2:30pm.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Severe constipation together WITH diarrhea all day diarrhea approx 10 times) 'til 9pm; so much that caused extremely painful hemorrhoids. BTW, I almost never have constipation (only post surgery due to painkillers). No fever med since Sun (Alleve). cut off by CDC

2021-10-07

Systemic reaction (other): Armpit-chest tissue swollen under left (injected) arm continues. Noticed 3 days after shot, but may have begun earlier. No pain, just swelling. Forgot to mention til now. Discovered it's a known reaction. Digestive issues improving each day.

Release 10 — day 7, dose 3

2021-10-08

Systemic reaction (other): Still swollen under left arm (left arm was the injected arm). No pain, just swollen.

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Swelling under left arm (armpit swelling) still here. Left upper arm was injected. No pain, just swollen.

Release 10 — day 28, dose 3

2021-10-29

Symptoms: Swelling under left (injection side) arm is nearly back to normal after 10-10-2021 3rd/booster (Pfizer) shot.

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): Heart racing, palpitations

2022-05-06

Systemic reaction (other): Heartbeat maybe still a little fluttery

2022-05-07

Systemic reaction (other): Odd swelling at left (injection side) armpit-chest

2022-05-08

Systemic reaction (other): Armpit-chest swollen on left (injection side). Heart rate seems a bit fast.

2022-05-09

Systemic reaction (other): Armpit-chest swollen on left (injection side)

2022-05-10

Systemic reaction (other): Armpit-chest swollen on left (injection side).

Release 11 — day 7, dose 4

2022-05-11

Systemic reaction (other): Swollen left armpit-chest (injection was on left)

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Armpit-chest still swollen (left, injection side) but less than previously.

Release 11 — day 21, dose 4

2022-05-26

Symptoms: Swollen armpit-chest on left (injection side).

Release 12 — 6 months, dose 4

2022-11-04

Symptoms: Had Covid 9/5/2022 - 9/14/2022.

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	COVID-19	·	·	✓
SD	Eyelids pruritus	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Swelling	·	·	✓
SD	Swelling of eyelid	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Haemorrhoids	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypersomnia	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Sinus pain	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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