3RP-26344-74490

4 vaccinations 14 coded responses 34 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-02-22

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

2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Muscle spasms in each inner thigh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pollakiuria — Feeling: Good · Muscle or body aches

Free text: Muscle spasms in both feet. Urinary frequency (every (2)hours during the night for the past(2) nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Fluid retention, Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling and pain in the calf of my left leg. I had an ultrasound which revealed fluid at the bend of the left knee. · Healthcare visit (other): Outpatient Imaging.

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

1 call case(s)
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Rectal polypectomy, Surgery — Feeling: Good · 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: Symptoms: I had a rectal polyp removed 08/06/2021. · Healthcare visit (other): Outpatient surgery at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
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)
2021-09-09
Call 1 — Left Voicemail
2021-10-15
Dose 3 — Pfizer-BioNTech
2022-03-10
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Back pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abdomen and back pain. · Healthcare visit (other): Office visit with Nurse Practitioner

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-11
Call 1 — Left Voicemail
2022-03-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-08-05
Dose 4 — Pfizer-BioNTech
2022-08-06
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-08-07
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-07
Survey response — 3 months, dose 4
MedDRA: Blood cholesterol increased, Occult blood positive, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: *Elevated cholesterol levels. *Occult blood fecal sample positive for blood. · Healthcare visit (other): Appointment for 11/09/22

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

1 call case(s)
2022-11-08
Call 1 — Left Voicemail
2023-02-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No
4	2022-08-05	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Muscle spasms in each inner thigh.

2021-03-12

Systemic reaction (other): No

2021-03-13

Systemic reaction (other): Muscle spasms in both feet. Urinary frequency (every (2)hours during the night for the past(2) nights.

2021-03-15

Systemic reaction (other): No

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): No

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Swelling and pain in the calf of my left leg. I had an ultrasound which revealed fluid at the bend of the left knee.

Healthcare visit (other): Outpatient Imaging.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: I had a rectal polyp removed 08/06/2021.

Healthcare visit (other): Outpatient surgery at (b)(6)

redacted (b)(6)

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: Abdomen and back pain.

Healthcare visit (other): Office visit with Nurse Practitioner

Release 12 — days 1–6 daily, dose 4

Release 12 — 3 months, dose 4

2022-11-07

Symptoms: *Elevated cholesterol levels. *Occult blood fecal sample positive for blood.

Healthcare visit (other): Appointment for 11/09/22

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	Surgery	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Back pain	·	·	✓
SD	Blood cholesterol increased	·	·	✓
SD	Fluid retention	✓	✓	✓
SD	Occult blood positive	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rectal polypectomy	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓

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