3DF-30041-27603

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 917 / CA
Registered: 2021-02-28

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Pfizer-BioNTech
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Headache, Limb discomfort, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Pain and heaviness in the left temporal lobe, left shoulder, left side of neck, latissimus back region

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: It might be stress...

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

Free text: Might be Stress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Slight bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-21
Survey response — day 0, dose 2
MedDRA: Discomfort, Hypoaesthesia, Injection site pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore at injection site, and on the side of the injection arm, neck, leg, shoulder blade feels heavy and numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My breast and underarm area is in pain, I believe it is my lymph nodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Foggy and difficultly remembering things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy and a hard time remembering things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Foggy and difficultly with memory

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Memory impairment — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Foggy and having a hard time remembering things

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

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-18
Survey response — day 28, dose 2
MedDRA: Anxiety — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Call 1 — Requested Callback
2022-04-04
Call 2 — Left Voicemail
2022-04-04
Callback requested for
03:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Pain and heaviness in the left temporal lobe, left shoulder, left side of neck, latissimus back region

2021-03-02

Systemic reaction (other): It might be stress...

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Might be Stress

2021-03-05

Systemic reaction (other): Slight bruising at injection site

Release 6 — day 0, dose 2

2021-03-21

Systemic reaction (other): Sore at injection site, and on the side of the injection arm, neck, leg, shoulder blade feels heavy and numb

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): My breast and underarm area is in pain, I believe it is my lymph nodes.

2021-03-25

Systemic reaction (other): Foggy and difficultly remembering things

2021-03-26

Systemic reaction (other): Foggy and a hard time remembering things

2021-03-27

Systemic reaction (other): Foggy and difficultly with memory

Release 6 — day 7, dose 2

2021-03-28

Systemic reaction (other): Foggy and having a hard time remembering things

Release 7 — day 28, dose 2

2021-04-18

Symptoms: Anxiety

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	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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