3LH-20162-36505

3 vaccinations 8 coded responses 28 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 782 / TX
Registered: 2021-01-21

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Fair · Fatigue or tiredness

Free text: Itchy throat possibly cedar allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: On 2/13 experienced aches, fever and headache. On 2/14 experienced aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Muscular weakness, Neuralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nerve pain and lose of strength in left arm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-20
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 7, dose 3
MedDRA: No adverse event, Physiotherapy — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): No · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-11
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-25
Survey response — day 35, dose 3
MedDRA: Rash — Feeling: Fair

Free text: A very fine rash across my upper chest. This happened after shot #2, also, but I didn't think anything of it. May not be related

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-21
Survey response — 6 months, dose 3
MedDRA: Blood glucose abnormal, Office visit, Urine uric acid increased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased problems with blood sugar levels and high Uric acid in urine · Healthcare visit (other): Diabetic specialist

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-20
Survey response — 12 months, dose 3
MedDRA: Office visit, Parathyroid tumour benign — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Parathyroid adenoma · Healthcare visit (other): Office visit, extensive blood work, various scans, scheduling surgery

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-21
Call 1 — Could Not Reach Participant
2022-09-26
Call 2 — Could Not Reach Participant
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-09-20	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Itchy throat possibly cedar allergy

2021-01-25

Systemic reaction (other): Sore throat

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): On 2/13 experienced aches, fever and headache. On 2/14 experienced aches.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Nerve pain and lose of strength in left arm

Release 9 — day 7, dose 3

2021-09-30

Systemic reaction (other): No

Healthcare visit (other): Physical therapy

Release 10 — day 35, dose 3

2021-10-25

Symptoms: A very fine rash across my upper chest. This happened after shot #2, also, but I didn't think anything of it. May not be related

Release 11 — 6 months, dose 3

2022-03-21

Symptoms: Increased problems with blood sugar levels and high Uric acid in urine

Healthcare visit (other): Diabetic specialist

Release 12 — 12 months, dose 3

2022-09-20

Symptoms: Parathyroid adenoma

Healthcare visit (other): Office visit, extensive blood work, various scans, scheduling surgery

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Blood glucose abnormal	·	·	✓
SD	Muscular weakness	✓	·	✓
SD	Neuralgia	✓	·	✓
SD	Parathyroid tumour benign	·	·	✓
SD	Rash	·	·	✓
SD	Urine uric acid increased	·	·	✓
SRO	Headache	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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