YBL-17027-94370

3 vaccinations 7 coded responses 30 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 554 / MN
Registered: 2020-12-31

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
Dose 1 — Pfizer-BioNTech
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site urticaria, Pain — Feeling: Good · Site: Pain, Redness

Free text: Feels almost like a small welt/bruising under the skin at the injection site, tender when touched, about a nickel sized area of redness at injection site, mildly sore arm on movemebt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Urticaria — Feeling: Good · Site: Pain, Redness

Free text: Still have a welt/bruise like underneath skin at the injection site, less tender when touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site mass, Injection site pain — Feeling: Good · Site: Pain, Redness

Free text: Continue to have redness and a lump underneath skin at injection site, this is about a quarter sized. Less tenderness when site is touched.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass, Injection site pain — Feeling: Good · Site: Pain, Swelling

Free text: Quarter sized lump under the injection site, mild tenderness when injection site is touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass — Feeling: Good

Free text: Lump under skin at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 35, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: Acid reflux not related to vaccine/COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

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

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

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

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Feels almost like a small welt/bruising under the skin at the injection site, tender when touched, about a nickel sized area of redness at injection site, mildly sore arm on movemebt

2021-01-01

Systemic reaction (other): Still have a welt/bruise like underneath skin at the injection site, less tender when touched

2021-01-02

Systemic reaction (other): Continue to have redness and a lump underneath skin at injection site, this is about a quarter sized. Less tenderness when site is touched.

2021-01-03

Systemic reaction (other): Quarter sized lump under the injection site, mild tenderness when injection site is touched

2021-01-04

Systemic reaction (other): Lump under skin at injection site

Release 4 — day 35, dose 2

2021-02-23

Symptoms: Acid reflux not related to vaccine/COVID

Release 12 — 12 months, dose 3

2022-09-30

Symptoms: COVID

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	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	○	○	○
SRO	Urticaria	✓	✓	✓

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