3AU-17933-29159

4 vaccinations 11 coded responses 38 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

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

Free text: Asthma symptoms

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: Fair · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Confusional state, Dizziness, Injection site rash — Feeling: Poor

Free text: Rash where injected! Dizziness and confusion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Muscle spasms — Feeling: Poor

Free text: Upset stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Office visit, Paraesthesia, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin rashes, tingling in fingers and shortness of breath · Healthcare visit (other): Office visit with PMC

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Breast mass, Uterine leiomyoma — Feeling: Fair

Free text: Fibroids breast lumps in right breast

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-13
Survey response — day 14, dose 3
MedDRA: Cough, Pain, Respiratory tract congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion coughing and sinus headaches and aches in body

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-04-27
Survey response — day 14, dose 4
MedDRA: Arthralgia, Back pain, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Back, joints and muscles aches.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 21, dose 4
MedDRA: Arthralgia, Lymphadenopathy — Feeling: Fair

Free text: Swollen glands, joints aches in my fingers

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 28, dose 4
MedDRA: Headache, Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Bad allergies and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Influenza — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bronchitis flu symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-10-12
Survey response — 6 months, dose 4
MedDRA: Eye pruritus, Office visit, Pharyngeal swelling, Pre-existing disease, Sinus headache — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Allergies sinus headaches itching eyes swollen throat · Healthcare visit (other): My PCP office

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-13
Call 3 — Could Not Reach Participant
2022-10-13
Call 2 — Could Not Reach Participant
2022-10-13
Call 1 — Could Not Reach Participant
2022-10-18
Call X — Left Voicemail
2022-10-18
Call 3 — Left Voicemail
2022-10-18
Call 2 — Left Voicemail
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-13
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-04-13	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Asthma symptoms

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Rash where injected! Dizziness and confusion.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Upset stomach cramps

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Skin rashes, tingling in fingers and shortness of breath

Healthcare visit (other): Office visit with PMC

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Fibroids breast lumps in right breast

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Congestion coughing and sinus headaches and aches in body

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Back, joints and muscles aches.

Release 11 — day 21, dose 4

2022-05-04

Symptoms: Swollen glands, joints aches in my fingers

Release 11 — day 28, dose 4

2022-05-11

Symptoms: Bad allergies and headaches

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Bronchitis flu symptoms

Release 12 — 6 months, dose 4

2022-10-12

Symptoms: Allergies sinus headaches itching eyes swollen throat

Healthcare visit (other): My PCP office

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Breast mass	·	·	✓
SD	Bronchitis	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye pruritus	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Influenza	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus headache	·	·	✓
SD	Uterine leiomyoma	·	·	✓

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