36T-23922-23030

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 078 / NJ
Registered: 2020-12-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-16
Dose 2 — Pfizer-BioNTech
2021-01-16
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Mild shortness of breath. Difficulty focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Cough and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough & sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus congestion cough sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain

Free text: Nasal congestion mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 6 months, dose 2
MedDRA: Ear pain, Injection site mass, Injection site pain, Neck pain, Pain in extremity, Sinus pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Left side arm and neck pain. Also left side sinus and ear pain. Shot was given in left arm. Pain in arm where shot given has just gone away in past month. Had lump and soreness there for months.

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail
2022-01-16
Survey response — 12 months, dose 2
MedDRA: Computerised tomogram abnormal, Mediastinal mass, Neck pain, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Found that I have a mass in my anterior mediastinum after having a cat scan of my neck for severe neck $ left arm pain

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-16	Pfizer-BioNTech

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-16

Systemic reaction (other): Slight sore throat

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): Difficulty concentrating

2021-01-19

Systemic reaction (other): Mild shortness of breath. Difficulty focusing

2021-01-20

Systemic reaction (other): Cough and shortness of breath

2021-01-21

Systemic reaction (other): Cough & sob

2021-01-22

Systemic reaction (other): Sinus congestion cough sore throat

Release 2 — day 7, dose 2

2021-01-23

Systemic reaction (other): Nasal congestion mild cough

Release 9 — 6 months, dose 2

2021-07-17

Symptoms: Left side arm and neck pain. Also left side sinus and ear pain. Shot was given in left arm. Pain in arm where shot given has just gone away in past month. Had lump and soreness there for months.

Release 10 — 12 months, dose 2

2022-01-16

Symptoms: Found that I have a mass in my anterior mediastinum after having a cat scan of my neck for severe neck $ left arm pain

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
SD	Computerised tomogram abnormal	·	·	✓
SD	Ear pain	·	·	✓
SD	Injection site mass	·	·	✓
SD	Injection site pain	·	·	✓
SD	Mediastinal mass	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Sinus pain	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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