ZL8-15165-06117

5 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 601 / IL
Registered: 2021-01-04

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

2020-12-19
Dose 1 — Pfizer-BioNTech
2021-01-04
Registered in v-safe
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-09
Survey response — day 0, dose 2
MedDRA: Feeling hot, Immediate post-injection reaction, Paraesthesia, Pruritus — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Tingling and random itchiness all over but no rash. Feeling of warmth all over about an hour after the shot but it went away in a few minutes. Just as an FYI I am allergic to many antibiotics.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Feeling abnormal, Injection site pruritus, Injection site rash, Injection site warmth, Pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Experienced fatigue about 8 hours after the 2nd shot and aches, chills, fever after 12 hours. Fever ranged from 99.4-101.6 and I felt awful. Fever subsided by Sunday night. Monday just mild symptoms but a new rash appeared on my arm at the injection site for the first injection. The second injection was above it. It's warm to the touch and itches. Benedryl hasn't resolved it. It's very odd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Injection site pruritus, Injection site rash — Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Free text: Still have slight rash around first injection site. Appeared two days after the second shot. Still a little sore and itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site

Free text: Still slightly pink and a little sore around first injection site. Second injection site is above it. Definitely better than it was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2022-01-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-17
Dose 4 — Pfizer-BioNTech
2022-06-24
Survey response — day 7, dose 4
MedDRA: Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: When I had the booster on 6/17, I had a fever on 6/18 and 6/19. Sore arm for 4 days. This has resolved.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — day 14, dose 4
MedDRA: Injection site pain — Feeling: Good

Free text: Soreness on left upper arm where original COVID series was given, not on the booster side. Received second booster 14 days ago. Booster side was sore initially for the first few days afterward. Otherwise feeling good.

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-18
Dose 5 — Pfizer-BioNTech
2022-12-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-19
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-06-17	Pfizer-BioNTech	No
5	2022-11-18	Pfizer-BioNTech	No

Free text

Release 1 — day 0, dose 2

2021-01-09

Systemic reaction (other): Tingling and random itchiness all over but no rash. Feeling of warmth all over about an hour after the shot but it went away in a few minutes. Just as an FYI I am allergic to many antibiotics.

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): Experienced fatigue about 8 hours after the 2nd shot and aches, chills, fever after 12 hours. Fever ranged from 99.4-101.6 and I felt awful. Fever subsided by Sunday night. Monday just mild symptoms but a new rash appeared on my arm at the injection site for the first injection. The second injection was above it. It's warm to the touch and itches. Benedryl hasn't resolved it. It's very odd.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Still have slight rash around first injection site. Appeared two days after the second shot. Still a little sore and itchy.

2021-01-15

Systemic reaction (other): Still slightly pink and a little sore around first injection site. Second injection site is above it. Definitely better than it was.

Release 12 — day 7, dose 4

2022-06-24

Systemic reaction (other): When I had the booster on 6/17, I had a fever on 6/18 and 6/19. Sore arm for 4 days. This has resolved.

Release 12 — day 14, dose 4

2022-07-01

Symptoms: Soreness on left upper arm where original COVID series was given, not on the booster side. Received second booster 14 days ago. Booster side was sore initially for the first few days afterward. Otherwise feeling good.

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	Injection site pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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