348-14352-53565

5 vaccinations 9 coded responses 54 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 752 / TX
Registered: 2021-01-08

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-08
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Self-medication — Feeling: Good · Site: Swelling · Diarrhea

Free text: Very Bad headache yesterday - 3 ibuprophen 2 zyrtec did not clear up. Finally mountain dew made it subside

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: I dont know it it matters but the pain and swelling i have been experiencing is under arm lymph nodes or gland pain on same side with injection. Started same time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Strong headache lasting 2days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Increased shortness of breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-12
Dose 3 — Moderna
2021-11-12
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain

Free text: Pain under arm in swollen glands moved down arm half way

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-11
Survey response — 3 months, dose 3
MedDRA: Gastrointestinal disorder, Headache, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach trouble with nausea and vomiting lasting 4 days with HA. · Healthcare visit (other): Went to get covid test. Test was neg

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Cough, Dyspnoea, Headache, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever cough sob headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Dose 4 — Moderna
2022-06-10
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-08
Survey response — day 28, dose 4
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-13
Dose 5 — Moderna
2023-04-13
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2023-04-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2023-04-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2023-04-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2023-04-20
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2023-04-27
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-05-04
Survey response — day 21, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-05-11
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-05-18
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-05-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-12	Moderna	No
4	2022-06-10	Moderna	No
5	2023-04-13	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Very Bad headache yesterday - 3 ibuprophen 2 zyrtec did not clear up. Finally mountain dew made it subside

2021-02-02

Systemic reaction (other): I dont know it it matters but the pain and swelling i have been experiencing is under arm lymph nodes or gland pain on same side with injection. Started same time

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Strong headache lasting 2days

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Increased shortness of breath

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): Pain under arm in swollen glands moved down arm half way

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: Stomach trouble with nausea and vomiting lasting 4 days with HA.

Healthcare visit (other): Went to get covid test. Test was neg

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Fever cough sob headache

Release 12 — day 28, dose 4

2022-07-08

Symptoms: Shortness of breath

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	SARS-CoV-2 test negative	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vomiting	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Self-medication	✓	✓	✓

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