ZUG-35041-54581

4 vaccinations 13 coded responses 26 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 088 / NJ
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Pain in extremity — Feeling: Good · Site: Pain

Free text: A little bit of soreness in my arm, and I have a bruise around the injection site (it bled a bit when I had the shot). Not terrible at all, but its there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain — Feeling: Good

Free text: Mild. Still have a bruise at the injection site. Have soreness a few inches below the site. Not enough to cause problems, but more than nothing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Bruise about the size of a quarter around injection site. Slight soreness a little bit down the arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruise around injection site remains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Pain in extremity, Tenderness — Feeling: Good

Free text: I still have a fairly dark bruise around the injection site. It doesn't really hurt, even if I press on it. Still a tiny bit of soreness/tenderness a few inches down from the site, but nothing that gets in my way

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 1
MedDRA: Contusion, Pain in extremity — Feeling: Good

Free text: There is still a bruise, but its getting better, not as dark. Very slight pain further down my arm. Nothing debilitating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass, Pain — Feeling: Fair · Site: Pain · Headache

Free text: A noticeable and painful lump on my collarbone that manifested itself last night. Ive had a similar reaction to a flu shot in the past

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Erythema, Nodule, Pain, Tenderness — Feeling: Good

Free text: Red painful lump on clavicle (same side as vaccine) and pain/tenderness under left arm (same side as vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Erythema, Mass, Pain — Feeling: Good

Free text: Still have painful lump on left clavicle (its slightly red) and some pain under my left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass, Pain, Tenderness — Feeling: Good

Free text: Painful lump in clavicle is subsiding, but still present. Slight tenderness under left armpit

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: Lymphadenopathy, Nodule — Feeling: Good

Free text: Painful lump on clavicle is subsiding further....still there, but not as bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Nodule — Feeling: Good · Fatigue or tiredness

Free text: Still have painful lump on clavicle

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

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Dose 4 — Pfizer-BioNTech
2022-10-30
Survey response — 12 months, dose 3
MedDRA: Adverse reaction, COVID-19, Cough, Eye pruritus, Lacrimation increased, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had symptoms of COVID-19: itchy/watery eyes, cough, congestion, sore throat. Turned out it was COVID - I experienced allergy-like symptoms for 3 days....tested day 1 (neg), day 2 (neg), then day 3 (positive).

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-04-09	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): A little bit of soreness in my arm, and I have a bruise around the injection site (it bled a bit when I had the shot). Not terrible at all, but its there.

2021-03-04

Systemic reaction (other): Mild. Still have a bruise at the injection site. Have soreness a few inches below the site. Not enough to cause problems, but more than nothing

2021-03-05

Systemic reaction (other): Bruise about the size of a quarter around injection site. Slight soreness a little bit down the arm.

2021-03-06

Systemic reaction (other): Bruise around injection site remains

2021-03-08

Systemic reaction (other): I still have a fairly dark bruise around the injection site. It doesn't really hurt, even if I press on it. Still a tiny bit of soreness/tenderness a few inches down from the site, but nothing that gets in my way

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): There is still a bruise, but its getting better, not as dark. Very slight pain further down my arm. Nothing debilitating

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): A noticeable and painful lump on my collarbone that manifested itself last night. Ive had a similar reaction to a flu shot in the past

2021-03-26

Systemic reaction (other): Red painful lump on clavicle (same side as vaccine) and pain/tenderness under left arm (same side as vaccine)

2021-03-27

Systemic reaction (other): Still have painful lump on left clavicle (its slightly red) and some pain under my left armpit

2021-03-28

Systemic reaction (other): Painful lump in clavicle is subsiding, but still present. Slight tenderness under left armpit

2021-03-29

Systemic reaction (other): Painful lump on clavicle is subsiding further....still there, but not as bad

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Still have painful lump on clavicle

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: I had symptoms of COVID-19: itchy/watery eyes, cough, congestion, sore throat. Turned out it was COVID - I experienced allergy-like symptoms for 3 days....tested day 1 (neg), day 2 (neg), then day 3 (positive).

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	Adverse reaction	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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