ZEX-21061-68400

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 304 / GA
Registered: 2021-04-02

Relationship: Self
Race: Black or African American
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
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

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
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Mobility decreased, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Muscle pain in shoulder near injection sight trouble lifting arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle pain near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
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: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Heartburn, gerd, accid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

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

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Just for the record 1st vaccine 4/1, 2nd 4/22 menstrual cycle was supposed to start 4/10 did have cycle for month of April cycle started 5/5 just to note maybe vaccine delayed cycle. No stress or anxiety during this time frame.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Epistaxis, Headache, Heavy menstrual bleeding, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Heavy period, nose bleeds, headaches, runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Dyspepsia, Dyspnoea, Headache, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Periodic chest pressure that feels like heartburn which makes it difficult to breath at times, mild headaches, and insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Headache, Insomnia, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, shortness of breath, joint pain, shoulder pain near injection sight, insomnia, headaches, and irregular periods.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Muscle pain in shoulder near injection sight trouble lifting arm.

2021-04-07

Systemic reaction (other): Muscle pain near injection site

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Heartburn, gerd, accid reflux

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Just for the record 1st vaccine 4/1, 2nd 4/22 menstrual cycle was supposed to start 4/10 did have cycle for month of April cycle started 5/5 just to note maybe vaccine delayed cycle. No stress or anxiety during this time frame.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Heavy period, nose bleeds, headaches, runny nose, sneezing

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Periodic chest pressure that feels like heartburn which makes it difficult to breath at times, mild headaches, and insomnia

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Fatigue, shortness of breath, joint pain, shoulder pain near injection sight, insomnia, headaches, and irregular periods.

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	Chest discomfort	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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