YB5-26014-01456

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 977 / OR
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Headache, Fatigue or tiredness

Free text: Slight metallic taste in mouth-5 minutes after shot - lasting about 10 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Slight tingling in face- went away after 1 dose of benedryl

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

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

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-20
Survey response — day 0, dose 2
MedDRA: Injection site pain, Injection site warmth — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Feels warm around the injection site. Very painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to work

Free text: Shoulder aches on same side as infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Muscle or body aches

Free text: Foggy brain the previous day - forgot to put that on the list

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Some neck pain on same right side as injection site. A lot of radiating pain down my arm today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Middle insomnia, Pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Ache radiates down my arm. Waking me up at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 2
MedDRA: Chills, Pain — Feeling: Good · Be unable to work

Free text: Fever 100.5, chills and aches lasting 24 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — day 0, dose 3
MedDRA: Neck pain — Feeling: Good · Site: Pain

Free text: Slight neck ache

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-18
Survey response — day 14, dose 3
MedDRA: Headache, Neck pain — Feeling: Fair

Free text: Headaches and neck aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Slight metallic taste in mouth-5 minutes after shot - lasting about 10 minutes

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Slight tingling in face- went away after 1 dose of benedryl

Release 2 — day 0, dose 2

2021-01-20

Systemic reaction (other): Feels warm around the injection site. Very painful

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Shoulder aches on same side as infection

2021-01-23

Systemic reaction (other): Foggy brain the previous day - forgot to put that on the list

2021-01-24

Systemic reaction (other): Some neck pain on same right side as injection site. A lot of radiating pain down my arm today

2021-01-25

Systemic reaction (other): Ache radiates down my arm. Waking me up at night

Release 4 — day 35, dose 2

2021-02-24

Symptoms: Fever 100.5, chills and aches lasting 24 hrs

Release 10 — day 0, dose 3

2021-10-04

Systemic reaction (other): Slight neck ache

Release 10 — day 14, dose 3

2021-10-18

Symptoms: Headaches and neck aches

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	Chills	✓	✓	✓
SD	Headache	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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