ZB6-27241-32802

5 vaccinations 17 coded responses 39 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 330 / FL
Registered: 2021-05-03

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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-05-03
Registered in v-safe
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: SOB, heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart racing and a little SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Palpitations, Sleep disorder — Feeling: Fair · Be unable to work

Free text: Still experiencing extreme fatigue every so often, extreme headache that wake me up every so often, some SOB and heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Headache, Nausea, Pain in extremity, Palpitations, Peripheral swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: SOB, heart racing at times, nauseated at times, sharp stabbing pain in left shoulder, legs swelling and pain, headaches at times, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Survey response — day 42, dose 2
MedDRA: Asthenia, Cough, Dyspnoea, Eye irritation, Fatigue, Musculoskeletal pain, Nausea, Pain in extremity, Palpitations, Peripheral swelling, Vitreous floaters — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: SOB, heart racing, at times extreme fatigue, pain in left shoulder blade, eyes burning, weakness, at times seeing floaters, pain going down legs, feet hurting, left leg swelling/ bigger then right, cough at times and nauseated at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-29
Dose 3 — Pfizer-BioNTech
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Chest pain, Dyspnoea, Musculoskeletal pain, Neck pain, Pain in extremity, Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SOB, chest pain & pressure, heart racing, legs hurting, neck pain along with shoulder blade pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Dose 4 — Pfizer-BioNTech
2022-05-28
Health check-in — day 0, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness · 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

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SOB

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · 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

Adult check-in
2022-06-02
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SOB, heart racing

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SOB, heart racing

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — day 7, dose 4
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: SOB, heart pounding

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-25
Survey response — day 28, dose 4
MedDRA: Chest pain, Dyspnoea, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chest pain, body aches, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Health check-in — day 35, dose 4
Feeling: Poor

Adult check-in
2022-07-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-27
Survey response — 3 months, dose 4
MedDRA: Cough, Dyspnoea, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart racing/pounding, coughing, and SOB at times

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Survey response — 6 months, dose 4
MedDRA: Blister, Injection site mass, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: A got a blister on my shoulder and small lump where I had the last shot Heart pounding at times

MedDRA releases: 2024-11 · check-in free text available
2023-01-28
Dose 5 — Pfizer-BioNTech
2023-01-28
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2023-01-29
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2023-01-30
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-01-31
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-02-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-02-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-02-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-02-04
Health check-in — day 7, dose 5
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-02-11
Survey response — day 14, dose 5
MedDRA: Chest pain, Dyspnoea, Headache, Pain, Pain in extremity, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-18
Survey response — day 21, dose 5
MedDRA: Dyspnoea, Headache, Pain, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-01
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-03-04
Survey response — day 35, dose 5
MedDRA: Feeling abnormal, Nausea, Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-11
Survey response — day 42, dose 5
MedDRA: Asthenia, Feeling abnormal, Palpitations, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-01
Health check-in — 3 months, dose 5
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-12-29	Pfizer-BioNTech	No
4	2022-05-28	Pfizer-BioNTech	No
5	2023-01-28	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): SOB, heart racing

Release 8 — day 7, dose 2

2021-05-04

Systemic reaction (other): Heart racing and a little SOB

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Still experiencing extreme fatigue every so often, extreme headache that wake me up every so often, some SOB and heart racing

Release 8 — day 28, dose 2

2021-05-25

Symptoms: SOB, heart racing at times, nauseated at times, sharp stabbing pain in left shoulder, legs swelling and pain, headaches at times, extreme fatigue

Release 8 — day 42, dose 2

2021-06-08

Symptoms: SOB, heart racing, at times extreme fatigue, pain in left shoulder blade, eyes burning, weakness, at times seeing floaters, pain going down legs, feet hurting, left leg swelling/ bigger then right, cough at times and nauseated at times

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: SOB, chest pain & pressure, heart racing, legs hurting, neck pain along with shoulder blade pain

Release 11 — days 1–6 daily, dose 4

2022-05-31

Systemic reaction (other): SOB

2022-06-02

Systemic reaction (other): SOB, heart racing

2022-06-03

Systemic reaction (other): SOB, heart racing

Release 11 — day 7, dose 4

2022-06-04

Systemic reaction (other): SOB, heart pounding

Release 12 — day 28, dose 4

2022-06-25

Symptoms: Fever, chest pain, body aches, SOB

Release 12 — 3 months, dose 4

2022-08-27

Symptoms: Heart racing/pounding, coughing, and SOB at times

Release 12 — 6 months, dose 4

2022-11-26

Symptoms: A got a blister on my shoulder and small lump where I had the last shot Heart pounding at times

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blister	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site mass	·	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Tremor	·	·	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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