3CZ-30452-67753

5 vaccinations 17 coded responses 51 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 144 / NY
Registered: 2021-03-11

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Diarrhea

Free text: My left leg was swollen & a very painful cramp on left calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Headache, Muscle or body aches

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Breast discomfort, Somnolence — Feeling: Good · Headache, Muscle or body aches

Free text: Sleepy & some discomfort on my breasts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Diarrhoea, Migraine, Pain in extremity, Peripheral swelling — Feeling: Good

Free text: Headaches(migraine)diarrheaStomach/abdominal discomfortLet foot swelling/ pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Nausea

Free text: Sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Survey response — day 7, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good

Free text: Feet swollen & hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Abdominal pain — Feeling: Good

Free text: Lower abdominal discomfort along with some left side abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Joint pains

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-10-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Good

Free text: Migraine headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 42, dose 3
MedDRA: Arthralgia, Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Migraine headaches, joint pains

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call 1 — Left Voicemail
2022-01-05
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Mammogram abnormal, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Regular mammogram spotted 2 areas of concern on right breast.will do further testing on 1/6/22. Also , swelling of the legs& joints hurt

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-06
Call 1 — Left Voicemail
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Aches/pain in joints& swollen fingers,toes,legs,feet

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Dose 4 — Pfizer-BioNTech
2022-04-11
Call 1 — Left Voicemail
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-04-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-14
Dose 5 — Pfizer-BioNTech
2022-10-10
Survey response — 6 months, dose 4
MedDRA: Headache, Ocular discomfort, Pyrexia — Feeling: Poor

Free text: Low degree fever, slight headaches, pressure on left eye

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 28, dose 5
MedDRA: Cough, Gastrointestinal disorder, Headache, Ocular discomfort, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches, cough,GI issues, pressure on left eye,low degree fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-15
Survey response — 6 months, dose 5
MedDRA: Headache, Migraine — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-04-11	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): My left leg was swollen & a very painful cramp on left calf

2021-03-14

Systemic reaction (other): Sleepy

2021-03-15

Systemic reaction (other): Sleepy

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Sleepy & some discomfort on my breasts

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Headaches(migraine)diarrheaStomach/abdominal discomfortLet foot swelling/ pain

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Sleepy

2021-04-04

Systemic reaction (other): Sleepy

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Feet swollen & hurting

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Lower abdominal discomfort along with some left side abdominal pain

Release 10 — day 28, dose 3

2021-11-03

Symptoms: Headaches

Release 10 — day 35, dose 3

2021-11-12

Symptoms: Migraine headaches

Release 10 — day 42, dose 3

2021-11-17

Symptoms: Migraine headaches, joint pains

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: Regular mammogram spotted 2 areas of concern on right breast.will do further testing on 1/6/22. Also , swelling of the legs& joints hurt

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: Aches/pain in joints& swollen fingers,toes,legs,feet

Release 12 — 6 months, dose 4

2022-10-10

Symptoms: Low degree fever, slight headaches, pressure on left eye

Release 12 — day 28, dose 5

2022-10-14

Symptoms: Headaches, cough,GI issues, pressure on left eye,low degree fever

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Migraine	✓	✓	✓
SD	Ocular discomfort	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Breast discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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