YJ5-18472-25603

4 vaccinations 12 coded responses 40 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-03-01

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-03-01
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Sensitisation — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: I always have central Sensitization pain & body aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Central pain syndrome, Pre-existing disease — Feeling: Good · Fever · Headache, Muscle or body aches

Free text: Almost always have these symptoms, for 7 years. Have Central Sensitization.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Rash on upper R abdomen, ~2 area. Other symptoms are normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lung tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: High-pitched tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Constipation, Diarrhoea, Headache — Feeling: Good

Free text: Headache, and after 6 days of diarrhea I had 2 days of constipation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Cough, Lymph node pain, Lymphadenopathy, Migraine, Oropharyngeal pain, Pruritus, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus congestion, dry itchy unproductive cough, migraine, sore swollen neck glands, mild sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-13
Dose 3 — Moderna
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-14
Survey response — 6 months, dose 3
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Dose 4 — Moderna
2022-06-13
Survey response — day 0, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: These are normal almost daily symptoms for me.

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2022-06-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-06-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-06-22
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-06-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — day 21, dose 4
MedDRA: Lactose intolerance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lactose intolerance symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-12
Survey response — 3 months, dose 4
MedDRA: Eye pruritus, Respiratory tract congestion, Smoke sensitivity — Feeling: Fair

Free text: Itchy eyes and congestion, probably from wildfire smoke.

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities

Free text: Caught COVID-19 at Thanksgiving

MedDRA releases: 2024-11 · check-in free text available
2023-06-13
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-11-13	Moderna	No
4	2022-06-13	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): I always have central Sensitization pain & body aches.

2021-03-02

Systemic reaction (other): Almost always have these symptoms, for 7 years. Have Central Sensitization.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Rash on upper R abdomen, ~2 area. Other symptoms are normal.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Lung tightness

2021-03-28

Systemic reaction (other): High-pitched tinnitus

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Headache, and after 6 days of diarrhea I had 2 days of constipation.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Sinus congestion, dry itchy unproductive cough, migraine, sore swollen neck glands, mild sore throat.

Release 11 — 6 months, dose 3

2022-05-14

Symptoms: Shortness of breath.

Release 12 — day 0, dose 4

2022-06-13

Systemic reaction (other): These are normal almost daily symptoms for me.

Release 12 — day 21, dose 4

2022-07-04

Symptoms: Lactose intolerance symptoms

Release 12 — 3 months, dose 4

2022-09-12

Symptoms: Itchy eyes and congestion, probably from wildfire smoke.

Release 12 — 6 months, dose 4

2022-12-12

Symptoms: Caught COVID-19 at Thanksgiving

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	Constipation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Headache	✓	✓	✓
SD	Lactose intolerance	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Smoke sensitivity	·	·	✓
SRO	Central pain syndrome	○	✓	○
SRO	Chest discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sensitisation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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