2XM-31219-27033

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 705 / LA
Registered: 2021-03-13

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Rash on my arms and face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Itching · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Chills, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Knot formed in my lymph node area of my under arm that I got the shot in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 2
MedDRA: Erythema, Mobility decreased, Nodule, Rash, Skin burning sensation, Skin exfoliation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Knots on my arm and red burning skin. Peeling skin where rash was. My arm keep locking up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Erythema, Photosensitivity reaction, Rash, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Where rash is I have redness and I'm sensitive to the sun. My skin burns and it even burns when water hit my skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 35, dose 2
MedDRA: Erythema, Photophobia, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Redness of my skin and thining burning skin on side where I took my shot. Sensitive to sunlight and water.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 42, dose 2
MedDRA: Erythema, Photosensitivity reaction, Rash, Skin atrophy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Redness of skin, rash and thinning of my skin. Sensitive to sunlight hitting skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Breathing problems. · Healthcare visit (other): Dr. Apt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Heart rate decreased, Injected limb mobility decreased, Injection site pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low heart rate and pain still in my arms where i got my shots. Im unable to lift my arms. I have taken x rays with no findings. · Healthcare visit (other): Dr. Visits

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Rash on my arms and face

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Runny nose

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Knot formed in my lymph node area of my under arm that I got the shot in

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Knots on my arm and red burning skin. Peeling skin where rash was. My arm keep locking up

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Where rash is I have redness and I'm sensitive to the sun. My skin burns and it even burns when water hit my skin

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Redness of my skin and thining burning skin on side where I took my shot. Sensitive to sunlight and water.

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Redness of skin, rash and thinning of my skin. Sensitive to sunlight hitting skin

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Breathing problems.

Healthcare visit (other): Dr. Apt

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Low heart rate and pain still in my arms where i got my shots. Im unable to lift my arms. I have taken x rays with no findings.

Healthcare visit (other): Dr. Visits

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	Dyspnoea	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Heart rate decreased	·	·	✓
SD	Injected limb mobility decreased	·	·	✓
SD	Injection site pain	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Photosensitivity reaction	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin atrophy	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Skin exfoliation	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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