2G9-25827-01078

2 vaccinations 16 coded responses 25 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-03-18

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Survey response — day 0, dose 1
MedDRA: Dyspnoea exertional — Feeling: Fair

Free text: Shortness of breath with any exertion or activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Shortness of breath with any activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, breathing hard with any activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath with any exertion or activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Dyspnoea exertional — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath with any exertion or exercise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Thrombosis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I am in the emergency room because I have developed a blood clot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — day 7, dose 1
MedDRA: Anticoagulant therapy, Deep vein thrombosis, Dyspnoea, Nausea, Pain, Pulmonary embolism — Feeling: Poor · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): My shortness of breath continues and I have both dvt and pulmonary embolism. · Healthcare visit (other): I needed to be put on blood thinners, pain medication and treatment for nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 14, dose 1
MedDRA: Headache, Pain, Thrombosis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain from the blood clots and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Pain, Thrombosis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Pain and shortness of breath from blot clot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Migraine, Nausea, Pain in extremity, Peripheral swelling, Pre-existing disease, Thrombosis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The blood clot in my leg is causing increasing pain and swelling. I have to limit myself to zero activity because of the leg pain, migraine and nausea. Pfizer sure doesnt give a crap.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 28, dose 2
MedDRA: Peripheral swelling, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am having swelling in my leg from the blood clot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Peripheral swelling, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lots of swelling today in my leg with the blood clots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Deep vein thrombosis, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I have more pain and swelling in my leg where the dvt is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Pain in extremity, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Extreme pain in my calf from the blot clots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Computerised tomogram abnormal, Pulmonary mass — Feeling: Fair · Be unable to do your normal daily activities

Free text: My recent ctscan indicates I have a nodule in my lung now

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): Shortness of breath with any exertion or activity

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Shortness of breath with any activity

2021-03-20

Systemic reaction (other): Shortness of breath

2021-03-21

Systemic reaction (other): Shortness of breath, breathing hard with any activity

2021-03-22

Systemic reaction (other): Shortness of breath with any exertion or activity

2021-03-23

Systemic reaction (other): Shortness of breath with any exertion or exercise

2021-03-24

Systemic reaction (other): I am in the emergency room because I have developed a blood clot

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): My shortness of breath continues and I have both dvt and pulmonary embolism.

Healthcare visit (other): I needed to be put on blood thinners, pain medication and treatment for nausea.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Pain from the blood clots and headaches

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Pain and shortness of breath from blot clot

Release 8 — day 21, dose 2

2021-04-29

Symptoms: The blood clot in my leg is causing increasing pain and swelling. I have to limit myself to zero activity because of the leg pain, migraine and nausea. Pfizer sure doesnt give a crap.

Release 8 — day 28, dose 2

2021-05-06

Symptoms: I am having swelling in my leg from the blood clot

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Lots of swelling today in my leg with the blood clots

Release 8 — day 42, dose 2

2021-05-20

Symptoms: I have more pain and swelling in my leg where the dvt is

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Extreme pain in my calf from the blot clots

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: My recent ctscan indicates I have a nodule in my lung now

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	Anticoagulant therapy	✓	✓	✓
HCVO	Nausea	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary mass	·	·	✓
SD	Thrombosis	✓	✓	✓
SRO	Deep vein thrombosis	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Pulmonary embolism	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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