ZWN-23596-35526

3 vaccinations 11 coded responses 29 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 930 / CA
Registered: 2021-04-16

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

Registered dependents

QH9-14989-35451 Child or adolescent in my care · Male · 2022-01-26

Timeline

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Mobility decreased, Pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 15 min after shit I had tingling in my arm down to my thumb, body aches now but able to gain some movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I had thought it was because of something else but my next and top of chest have had a rash for a couple days now today being the worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Rash — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: The rash on my neck is joy going away, it feels a little warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Rash — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Swelling of glands, rash is still present on chest and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 1
MedDRA: Office visit, Pharyngeal swelling, Rash, Swelling face, Urticaria — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had to go to the urgent care on Friday 23rd because of the rash like hives on my throat and chest, and the swelling in my face and throat.. they gave me an allergy pill to take..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Survey response — day 0, dose 2
MedDRA: Cold sweat, Dry mouth, Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A bit of a cold sweat, my arm is tingling and dry cotton mouth and my lips are tingling like they went to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Injection site warmth, Pain — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Slight heat coming from the site mainly tired and achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feeling drained but a little more energy then the day before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Paranasal sinus discomfort — Feeling: Fair

Free text: Headache,sinus pressure not sure related or allergies definitely more tired easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Brain fog, Fatigue, Lymphadenopathy, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, fatigue, foggy brain.. swelling in glands

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-14
Dose 3 — Pfizer-BioNTech
2022-01-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — day 35, dose 3
MedDRA: Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomit in the middle of the night

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2022-01-14	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): 15 min after shit I had tingling in my arm down to my thumb, body aches now but able to gain some movement

2021-04-21

Systemic reaction (other): I had thought it was because of something else but my next and top of chest have had a rash for a couple days now today being the worse

2021-04-22

Systemic reaction (other): The rash on my neck is joy going away, it feels a little warm

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Swelling of glands, rash is still present on chest and neck

Release 8 — day 14, dose 1

2021-04-30

Symptoms: I had to go to the urgent care on Friday 23rd because of the rash like hives on my throat and chest, and the swelling in my face and throat.. they gave me an allergy pill to take..

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): A bit of a cold sweat, my arm is tingling and dry cotton mouth and my lips are tingling like they went to sleep

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Slight heat coming from the site mainly tired and achy

2021-05-10

Systemic reaction (other): Feeling drained but a little more energy then the day before

Release 9 — day 42, dose 2

2021-06-20

Symptoms: Headache,sinus pressure not sure related or allergies definitely more tired easily

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Sinus congestion, fatigue, foggy brain.. swelling in glands

Release 11 — day 35, dose 3

2022-02-18

Symptoms: Vomit in the middle of the night

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	Brain fog	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Office visit	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Swelling face	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Rash	✓	✓	✓

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