ZSX-28582-02616

4 vaccinations 7 coded responses 46 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 930 / CA
Registered: 2021-03-22

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Swelling · Headache, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Diarrhoea, Unevaluable event — Feeling: Fair · Abdominal pain

Free text: Left side lower stomach. After having days of diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Lymphadenopathy — Feeling: Good

Free text: Lymph node slight swelling on left side throat.Also on and off mild stomach discomfort left side lower quadrant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still experiencing periodic stomach issues/discomfort that I experienced after the 1st & 2nd Covid vaccine. I had a prior history of IBS/Colitis but no symptomatic activity for over 12 years. Have contacted Gastroenterologist for appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 28, dose 2
MedDRA: Rosacea — Feeling: Good

Free text: Slight rosacea on facial cheeks near nose area (last 24 hrs). Same as what was experienced on 2nd day after 2nd vaccine injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-14
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
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
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Slight cough. Small rash on injection side of face

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-20
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued arm pain and continued stomach upset with achy back.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Survey response — day 35, dose 4
MedDRA: Back disorder, Sinus disorder — Feeling: Fair

Free text: Sinus issues and back issues

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No
4	2022-04-06	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Left side lower stomach. After having days of diarrhea.

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Lymph node slight swelling on left side throat.Also on and off mild stomach discomfort left side lower quadrant.

Release 7 — day 14, dose 2

2021-04-26

Symptoms: Still experiencing periodic stomach issues/discomfort that I experienced after the 1st & 2nd Covid vaccine. I had a prior history of IBS/Colitis but no symptomatic activity for over 12 years. Have contacted Gastroenterologist for appointment.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Slight rosacea on facial cheeks near nose area (last 24 hrs). Same as what was experienced on 2nd day after 2nd vaccine injection.

Release 10 — days 1–6 daily, dose 3

2021-10-16

Systemic reaction (other): Slight cough. Small rash on injection side of face

Release 11 — day 14, dose 4

2022-04-20

Symptoms: Continued arm pain and continued stomach upset with achy back.

Release 11 — day 35, dose 4

2022-05-11

Symptoms: Sinus issues and back issues

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	Abdominal discomfort	✓	✓	✓
SD	Back disorder	·	·	✓
SD	Back pain	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Rosacea	✓	✓	✓
SD	Sinus disorder	·	·	✓
SRO	Abdominal discomfort	○	✓	○
SRO	Cough	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Unevaluable event	✓	·	✓

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