Z6W-20593-16230

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 551 / MN
Registered: 2021-04-02

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Poor quality sleep — Feeling: Good · Site: Pain

Free text: Small headache when I first woke up but did last once I got out of bed. Not unusual. Didn't sleep well. Also not unusual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Feels like allergies. Worse than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Most symptoms occurred during the early morning. I took some Advil and they went away fir most of the day. Body aches are back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral, Pain, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Free text: The swelling in in my arm was more in my arm pit. Difficult the move my arm without severe pain to my armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Armpit swollen and painful to more the arm that received the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 28, dose 2
MedDRA: Dyspepsia — Feeling: Good · Be unable to do your normal daily activities

Free text: Allergies, I think. When I breath in it feels like bad heartburn.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-28
Dose 3 — Pfizer-BioNTech
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Ageusia, Pre-existing disease — Feeling: Good

Free text: Loss of taste for 2 months after recovering from COVID19. Since getting my taste back, I have lost it again for shorter durations.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — 3 months, dose 3
MedDRA: Ageusia, Disturbance in attention — Feeling: Good

Free text: My taste still comes and goes. Have difficulty focusing.

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Survey response — 6 months, dose 3
MedDRA: Ageusia, Amnesia, Cognitive disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Occasional lose of taste. Cognitive issues. Memory loss.

MedDRA releases: 2024-11 · check-in free text available
2023-03-01
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2022-02-28	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Small headache when I first woke up but did last once I got out of bed. Not unusual. Didn't sleep well. Also not unusual.

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Feels like allergies. Worse than usual.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Most symptoms occurred during the early morning. I took some Advil and they went away fir most of the day. Body aches are back.

2021-04-24

Systemic reaction (other): The swelling in in my arm was more in my arm pit. Difficult the move my arm without severe pain to my armpit.

2021-04-25

Systemic reaction (other): Armpit swollen and painful to more the arm that received the shot.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Allergies, I think. When I breath in it feels like bad heartburn.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Loss of taste for 2 months after recovering from COVID19. Since getting my taste back, I have lost it again for shorter durations.

Release 11 — 3 months, dose 3

2022-05-30

Symptoms: My taste still comes and goes. Have difficulty focusing.

Release 12 — 6 months, dose 3

2022-08-31

Symptoms: Occasional lose of taste. Cognitive issues. Memory loss.

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	Ageusia	·	·	✓
SD	Amnesia	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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