ZRN-75434-53991

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 494 / MI
Registered: 2021-05-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

EL2-31028-69381 Child or adolescent in my care · Male · 2021-08-05

576-70461-67977 Child or adolescent in my care · Male · 2021-11-08

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-15
Registered in v-safe
2021-05-15
Dose 1 — Pfizer-BioNTech
2021-05-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dizziness, Neck pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Congestion, sore neck, a spell of lightheaded/dizzy, some coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Lightheaded/dizzy, coughing, heavy chested in AM.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Free text: Slight swelling in the neck just above the clavicle (on side the shot was given)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-05
Dose 2 — Pfizer-BioNTech
2021-06-05
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Tingling sensation through body. Heavy chested at times (not hard to breath though).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Neck pain, Oedema peripheral, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Pain & swelling in the armpit (shot side), sore neck & shoulders, congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Balance disorder, Dizziness, Peripheral swelling — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Pain & swelling in arm pit (on shot side), when woke up was off balance and dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Little lightheaded/dizzy in AM time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-12
Survey response — day 7, dose 2
MedDRA: Heart rate decreased, Malaise, Palpitations — Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Free text: Heart palpitations, low pulse (43), overall not feeling well in AM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — day 35, dose 2
MedDRA: Back pain, Chest pain, Head discomfort — Feeling: Fair

Free text: Back pain, head pressure, some chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Pfizer-BioNTech
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Arm pit (on side shot was given) still sore. Forgot to report this in my other check ins.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — day 42, dose 3
MedDRA: Chest discomfort, Nausea, Palpitations — Feeling: Good

Free text: Heart palpitations, heavy chested, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Pfizer-BioNTech
2	2021-06-05	Pfizer-BioNTech
3	2021-12-16	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-16

Systemic reaction (other): Congestion, sore neck, a spell of lightheaded/dizzy, some coughing

2021-05-17

Systemic reaction (other): Lightheaded/dizzy, coughing, heavy chested in AM.

2021-05-19

Systemic reaction (other): Slight swelling in the neck just above the clavicle (on side the shot was given)

Release 8 — day 0, dose 2

2021-06-05

Systemic reaction (other): Tingling sensation through body. Heavy chested at times (not hard to breath though).

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Pain & swelling in the armpit (shot side), sore neck & shoulders, congestion.

2021-06-07

Systemic reaction (other): Pain & swelling in arm pit (on shot side), when woke up was off balance and dizzy.

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Little lightheaded/dizzy in AM time.

Release 9 — day 7, dose 2

2021-06-12

Systemic reaction (other): Heart palpitations, low pulse (43), overall not feeling well in AM

Release 9 — day 35, dose 2

2021-07-10

Symptoms: Back pain, head pressure, some chest pain.

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Arm pit (on side shot was given) still sore. Forgot to report this in my other check ins.

Release 11 — day 42, dose 3

2022-01-27

Symptoms: Heart palpitations, heavy chested, nausea

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	Back pain	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Nausea	·	·	✓
SD	Palpitations	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Swelling	✓	✓	✓

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