2MY-78911-19576

5 vaccinations 14 coded responses 58 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 782 / TX
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Joint pains

Free text: Sharp shoulder pain in the arm where injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Muscle or body aches

Free text: Injection Arm ... sharp pain in back of shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Headache, Medical counselling, Pain — Feeling: Poor · Site: Pain, Itching · Headache, Abdominal pain · 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: Systemic reaction (other): Abdominal... began at 1am still painful. Headaches come & go · Healthcare visit (other): Spoke w/ a nurse who advised me to hydrate and get rest also ok to take Tylenol or Motrin for pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, 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)
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Vomiting — Feeling: Fair · Site: Pain, Itching · Headache, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Abdominal pain has lasted more than 24hrs and vomiting 12hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Diarrhea

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-17
Call 1 — Left Voicemail
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore underneath my arm that I received the injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Survey response — day 28, dose 3
MedDRA: Inflammation, Ulcer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ulcer had a biopsy and I have inflammation taking omeprazole

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-02
Dose 4 — Pfizer-BioNTech
2022-07-04
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Joint pains

Free text: Pain underneath my arm (same arm of injection)

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-06
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site erythema — Feeling: Good

Free text: Redness on my neck and shoulder (same side as injection)

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good

Free text: Continued pain under arm (same arm as injection)

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-07-09
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-07-16
Survey response — day 14, dose 4
MedDRA: Injection site rash — Feeling: Good

Free text: Rash in area where vaccinated

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-04
Dose 5 — Pfizer-BioNTech
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site rash — Feeling: Good · Site: Pain · Headache, Abdominal pain

Free text: Rash around the injection area

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site rash — Feeling: Good · Headache

Free text: Rash in the immediate area around injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site rash — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Rash in the area surrounding the injection area

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — day 7, dose 5
MedDRA: Injection site rash — Feeling: Good

Free text: Rash in injection area

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-07-02	Pfizer-BioNTech	No
5	2022-10-04	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Sharp shoulder pain in the arm where injected

2021-01-03

Systemic reaction (other): Injection Arm ... sharp pain in back of shoulder

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Abdominal... began at 1am still painful. Headaches come & go

Healthcare visit (other): Spoke w/ a nurse who advised me to hydrate and get rest also ok to take Tylenol or Motrin for pain

2021-01-23

Systemic reaction (other): Abdominal pain has lasted more than 24hrs and vomiting 12hrs

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Sore underneath my arm that I received the injection

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Ulcer had a biopsy and I have inflammation taking omeprazole

Release 12 — days 1–6 daily, dose 4

2022-07-04

Systemic reaction (other): Pain underneath my arm (same arm of injection)

2022-07-06

Systemic reaction (other): Redness on my neck and shoulder (same side as injection)

2022-07-07

Systemic reaction (other): Continued pain under arm (same arm as injection)

Release 12 — day 14, dose 4

2022-07-16

Symptoms: Rash in area where vaccinated

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Rash around the injection area

2022-10-09

Systemic reaction (other): Rash in the immediate area around injection site

2022-10-10

Systemic reaction (other): Rash in the area surrounding the injection area

Release 12 — day 7, dose 5

2022-10-11

Systemic reaction (other): Rash in injection area

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	Medical counselling	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site rash	·	·	✓
SD	Ulcer	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	·	·	✓
SRO	Vomiting	✓	✓	✓

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