3RQ-16282-47449

1 vaccination 11 coded responses 15 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 836 / ID
Registered: 2021-08-12

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

2021-08-12
Registered in v-safe
2021-08-12
Dose 1 — Pfizer-BioNTech
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching

Free text: Itchy around mid section mild rash

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: Itching mid section neck face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-19
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Little itchy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 14, dose 1
MedDRA: Chills, Headache, Influenza like illness, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Flu like symptoms chills headache sore throat · Healthcare visit (other): Covid test pending

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Survey response — day 21, dose 1
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, 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: Covid

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — day 21, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-02
Call 3 — Left Voicemail
2021-09-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-09
Survey response — day 28, dose 1
MedDRA: Angina pectoris, Muscle spasms, Pulmonary pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pains in heart and lungs like an ache or cramp comes and goes

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — day 35, dose 1
MedDRA: Muscle spasms, Pulmonary pain — Feeling: Good

Free text: My lungs hurt when I lay down some cramping in heart area comes snd goes

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Survey response — day 42, dose 1
MedDRA: Dyspnoea, Inflammation — Feeling: Fair

Free text: Inflammation MILD SHORTNESS OF BREATH

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — 3 months, dose 1
MedDRA: Angina pectoris, Muscle spasms, Pulmonary pain — Feeling: Good

Free text: Sometimes cramps or pains in my heart and lungs

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Survey response — 6 months, dose 1
MedDRA: Cough — Feeling: Fair

Free text: Continuous cough

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — 12 months, dose 1
MedDRA: Cough, Gastrointestinal disorder, Naturopathy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Persistent cough tummy trouble · Healthcare visit (other): Naturopath

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-15
Call 1 — Requested Callback
2022-08-15
Call 1 — Requested Callback
2022-08-15
Call 1 — Requested Callback
2022-08-16
Call 2 — Left Voicemail
2022-08-16
Callback requested for
11:00AM ET
2022-08-16
Call 2 — Left Voicemail
2022-08-16
Callback requested for
11:00AM ET
2022-08-16
Call 2 — Left Voicemail
2022-08-16
Callback requested for
11:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-12	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-16

Systemic reaction (other): Itchy around mid section mild rash

2021-08-17

Systemic reaction (other): Itching mid section neck face

Release 9 — day 7, dose 1

2021-08-19

Systemic reaction (other): Little itchy

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Flu like symptoms chills headache sore throat

Healthcare visit (other): Covid test pending

Release 9 — day 21, dose 1

2021-09-02

Symptoms: Covid

Release 9 — day 28, dose 1

2021-09-09

Symptoms: Pains in heart and lungs like an ache or cramp comes and goes

Release 9 — day 35, dose 1

2021-09-16

Symptoms: My lungs hurt when I lay down some cramping in heart area comes snd goes

Release 9 — day 42, dose 1

2021-09-23

Symptoms: Inflammation MILD SHORTNESS OF BREATH

Release 10 — 3 months, dose 1

2021-11-11

Symptoms: Sometimes cramps or pains in my heart and lungs

Release 11 — 6 months, dose 1

2022-02-10

Symptoms: Continuous cough

Release 12 — 12 months, dose 1

2022-08-12

Symptoms: Persistent cough tummy trouble

Healthcare visit (other): Naturopath

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	Naturopathy	·	·	✓
HCVO	SARS-CoV-2 test	✓	·	✓
SD	Angina pectoris	·	·	✓
SD	Chills	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	·	✓
SD	Inflammation	·	·	✓
SD	Influenza like illness	✓	·	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pulmonary pain	·	·	✓
SRO	Pruritus	✓	·	✓
SRO	Rash	✓	·	✓

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