292-18256-79704

5 vaccinations 12 coded responses 35 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 201 / VA
Registered: 2021-02-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Chills

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Limb mass, Mass — Feeling: Fair · Fatigue or tiredness

Free text: I have a small mass on (R) hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Fair

Free text: Diarrea today. Nausea yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 28, dose 2
MedDRA: Polyp — Feeling: Good

Free text: I have a polyp in the palm of my right hand. No pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Cyst, Epistaxis — Feeling: Fair

Free text: Still have a small cyst in my right hand. Sometimes have nose bleeds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Dose 3 — Pfizer-BioNTech
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-04
Survey response — day 42, dose 3
MedDRA: Mass, Pre-existing disease — Feeling: Fair

Free text: A growth appeared in a scar from a previous surgery.Lower mid section.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — 3 months, dose 3
MedDRA: Cyst — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a cyst on my chest and stomach. Had one in my hand after the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-29
Call X — Left Voicemail
2022-04-09
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2022-04-18
Health check-in — day 7, dose 4
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-02
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-15
Survey response — day 35, dose 4
MedDRA: Nausea — Feeling: Fair

Free text: Nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Survey response — 3 months, dose 4
MedDRA: Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue. · Healthcare visit (other): Seeing physician on July 13th.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-12
Call 2 — Left Voicemail
2022-07-12
Call 2 — Left Voicemail
2022-09-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-09
Survey response — 6 months, dose 4
MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chills and fatigue. Had my second booster on 9/20/2022.

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — day 14, dose 5
MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills, chronic fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 2 — Left Voicemail
2022-10-20
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-02
Survey response — day 42, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school

Free text: Fatigue has not resided.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-21
Survey response — 6 months, dose 5
MedDRA: Brain fog, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-21
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-23
Call 1 — Requested Callback
2023-03-23
Call 1 — Requested Callback
2023-03-23
Call 1 — Requested Callback
2023-03-23
Call 1 — Requested Callback
2023-03-28
Call 2 — Left Voicemail
2023-03-28
Callback requested for
07:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-08-22	Pfizer-BioNTech	No
4	2022-04-09	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): I have a small mass on (R) hand.

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Diarrea today. Nausea yesterday.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: I have a polyp in the palm of my right hand. No pain.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Still have a small cyst in my right hand. Sometimes have nose bleeds.

Release 10 — day 42, dose 3

2021-10-04

Symptoms: A growth appeared in a scar from a previous surgery.Lower mid section.

Release 10 — 3 months, dose 3

2021-11-22

Symptoms: I have a cyst on my chest and stomach. Had one in my hand after the vaccine.

Release 11 — day 35, dose 4

2022-05-15

Symptoms: Nausea.

Release 12 — 3 months, dose 4

2022-07-11

Symptoms: Fatigue.

Healthcare visit (other): Seeing physician on July 13th.

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Chills and fatigue. Had my second booster on 9/20/2022.

Release 12 — day 14, dose 5

2022-10-09

Symptoms: Chills, chronic fatigue.

Release 12 — day 42, dose 5

2022-11-02

Symptoms: Fatigue has not resided.

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
HCVO	Unevaluable event	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cyst	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Mass	·	·	✓
SD	Nausea	✓	✓	✓
SD	Polyp	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Limb mass	·	·	✓
SRO	Mass	✓	✓	○

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