2GJ-22755-95593

4 vaccinations 13 coded responses 24 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 900 / CA
Registered: 2021-02-17

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-02-17
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: No

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: Fatigue — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Just feeling tired

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: Muscle spasms, Pruritus — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Just the all-of-a-sudden itching to the arm where the shot was given and all thru the night severe muscle spasms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Thru the night muscle spasms, other then that I am ok.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Fair

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

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
Co-administered: Do not remember
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: Soreness to my shocker fever yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Bradykinesia, Headache, Injection site warmth, Self-medication, Vision blurred — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arm around the point of injection is hot, and the area above and below the injection feels normal a little bit of blurred vision as well as headache. Taking Tylenol extra strength, moving around a little slow.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Felt a little bit tired today muscle aches and joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Noticed my upper arm, black and blue at point of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Survey response — day 7, dose 3
MedDRA: Abdominal pain, Joint swelling, Skin discolouration — Feeling: Poor · Site: Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Some abdominal pain, my shoulder where shot was given still swollen. Black and blue mark still there, just lighter in color

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-26
Dose 4 — Pfizer-BioNTech
Co-administered: Other
2022-04-14
Survey response — day 14, dose 4
MedDRA: Dyspnoea, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Short of breath and pain in left arm with feet swelling · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-16
Survey response — day 21, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Same problems. Referred to Nurologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Call 1 — Could Not Reach Participant
2022-04-25
Survey response — day 28, dose 4
MedDRA: Dyspnoea, Joint swelling, Muscle spasms, Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The same as I told the woman today. Shortness of breath severe muscle spasms in arms, legs and upper arms, shoulders and lower back. Swelling in oft wrist and feet · Healthcare visit (other): Office visit 04/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-30
Survey response — day 35, dose 4
MedDRA: Office visit, Pain — Feeling: Fair

Free text: Just still pain. Was treated at the Clinic last Thursday

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	Do not remember
4	2022-03-26	Pfizer-BioNTech	Other

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Just feeling tired

2021-03-06

Systemic reaction (other): Just the all-of-a-sudden itching to the arm where the shot was given and all thru the night severe muscle spasms.

2021-03-07

Systemic reaction (other): Thru the night muscle spasms, other then that I am ok.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Soreness to my shocker fever yesterday

2021-10-01

Systemic reaction (other): My arm around the point of injection is hot, and the area above and below the injection feels normal a little bit of blurred vision as well as headache. Taking Tylenol extra strength, moving around a little slow.

2021-10-02

Systemic reaction (other): Felt a little bit tired today muscle aches and joint pain

2021-10-03

Systemic reaction (other): Noticed my upper arm, black and blue at point of injection

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): Some abdominal pain, my shoulder where shot was given still swollen. Black and blue mark still there, just lighter in color

Release 11 — day 14, dose 4

2022-04-14

Symptoms: Short of breath and pain in left arm with feet swelling

Healthcare visit (other): Office visit

Release 11 — day 21, dose 4

2022-04-16

Symptoms: Same problems. Referred to Nurologist

Release 11 — day 28, dose 4

2022-04-25

Symptoms: The same as I told the woman today. Shortness of breath severe muscle spasms in arms, legs and upper arms, shoulders and lower back. Swelling in oft wrist and feet

Healthcare visit (other): Office visit 04/22

Release 11 — day 35, dose 4

2022-04-30

Symptoms: Just still pain. Was treated at the Clinic last Thursday

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	Office visit	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Joint swelling	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Bradykinesia	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site warmth	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Skin discolouration	·	·	✓
SRO	Vision blurred	·	·	✓

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