ZJ2-17155-29040

6 vaccinations 30 coded responses 78 check-ins 29 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-03-08

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: High heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ear disorder, Headache, Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pounding heart and ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Heart rate still pounding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pounding heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Heart pounding, ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 1
MedDRA: Palpitations, Tinnitus — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Heart and ears still pounding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-28
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Palpitations, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart pounding, ears pounding, arms and fingers numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Racing heart and pressure in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pounding heart and ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac discomfort, Ear discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Raising heart pressure in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Raising heart and pressure in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Racing heart and pounding ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Headache, Palpitations — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Heart and ears continue to pound and feel heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 7, dose 2
MedDRA: Chest pain, Ear discomfort — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Heart and chest ache. Ears still full of pressure

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

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 0, dose 3
MedDRA: Palpitations — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Heart pounding very hard

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Survey response — day 42, dose 3
MedDRA: Axillary mass, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad headaches. Lump un left arm pit.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Back pain, Cough, Fatigue, Headache, Oropharyngeal pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cough, headache, sore throat, temperature, fatigue bad backache

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Dose 4 — Pfizer-BioNTech
2022-03-21
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Heart pounding

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Heart Palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Heart papatations

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-03-26
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-02
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-16
Survey response — day 28, dose 4
MedDRA: Amnesia, Cough, Lung disorder, Mental impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lungs full again. Bad cough. Headache back. Can't think right. Memory loss.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-04-30
Survey response — day 42, dose 4
MedDRA: Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant cough, fatigue, headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-17
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-09-21
Dose 5 — Pfizer-BioNTech
2022-09-21
Survey response — day 0, dose 5
MedDRA: Feeling hot, Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches

Free text: Heart pounding; hot

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-28
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-12
Survey response — day 21, dose 5
MedDRA: Cough, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cough, temperature, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-26
Survey response — day 35, dose 5
MedDRA: Chills, Headache, Tremor — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shakes, heavy chills, very bad headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — day 42, dose 5
MedDRA: Cough, Headache, Pulmonary congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad cough. Lungs very congested. Severe headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in
2023-05-08
Dose 6 — Pfizer-BioNTech
2023-05-09
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-05-10
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-11
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-12
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2023-05-13
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2023-05-14
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2023-05-15
Health check-in — day 7, dose 6
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-05-22
Survey response — day 14, dose 6
MedDRA: Body temperature increased, Chills, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-29
Health check-in — day 21, dose 6
Feeling: Fair

Adult check-in
2023-06-05
Health check-in — day 28, dose 6
Feeling: Fair

Adult check-in
2023-06-12
Health check-in — day 35, dose 6
Feeling: Fair

Adult check-in
2023-06-19
Health check-in — day 42, dose 6
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-03-19	Pfizer-BioNTech	No
5	2022-09-21	Pfizer-BioNTech	No
6	2023-05-08	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Rapid heart

2021-03-09

Systemic reaction (other): High heart palpitations

2021-03-10

Systemic reaction (other): Pounding heart and ears

2021-03-11

Systemic reaction (other): Heart rate still pounding

2021-03-12

Systemic reaction (other): Pounding heart

2021-03-13

Systemic reaction (other): Heart pounding, ears ringing

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Heart and ears still pounding

Release 6 — day 0, dose 2

2021-03-28

Systemic reaction (other): Heart pounding, ears pounding, arms and fingers numb

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Racing heart and pressure in ears

2021-03-30

Systemic reaction (other): Pounding heart and ears

2021-03-31

Systemic reaction (other): Raising heart pressure in ears

2021-04-01

Systemic reaction (other): Raising heart and pressure in ears

2021-04-02

Systemic reaction (other): Racing heart and pounding ears

2021-04-03

Systemic reaction (other): Heart and ears continue to pound and feel heavy

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Heart and chest ache. Ears still full of pressure

Release 9 — day 0, dose 3

2021-09-29

Systemic reaction (other): Heart pounding very hard

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Heart palpitations

Release 10 — day 42, dose 3

2021-11-10

Symptoms: Bad headaches. Lump un left arm pit.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Bad cough, headache, sore throat, temperature, fatigue bad backache

Release 11 — days 1–6 daily, dose 4

2022-03-21

Systemic reaction (other): Heart pounding

2022-03-22

Systemic reaction (other): Heart Palpitations

2022-03-23

Systemic reaction (other): Heart palpitations

2022-03-24

Systemic reaction (other): Heart papatations

Release 11 — day 28, dose 4

2022-04-16

Symptoms: Lungs full again. Bad cough. Headache back. Can't think right. Memory loss.

Release 11 — day 42, dose 4

2022-04-30

Symptoms: Constant cough, fatigue, headache

Release 12 — day 0, dose 5

2022-09-21

Systemic reaction (other): Heart pounding; hot

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Bad cough, temperature, body aches

Release 12 — day 35, dose 5

2022-10-26

Symptoms: Shakes, heavy chills, very bad headache

Release 12 — day 42, dose 5

2022-11-02

Symptoms: Bad cough. Lungs very congested. Severe headaches.

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	Amnesia	·	·	✓
SD	Axillary mass	·	·	✓
SD	Back pain	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lung disorder	·	·	✓
SD	Mental impairment	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pulmonary congestion	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Cardiac discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear disorder	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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