3UR-42628-64463

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 604 / IL
Registered: 2021-09-07

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

2021-09-07
Registered in v-safe
2021-09-07
Dose 1 — Pfizer-BioNTech
2021-09-07
Survey response — day 0, dose 1
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain

Free text: Right leg from knee to ankle swollen

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain · Joint pains, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Itching all over mild no rash and swollen right leg

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Actually I didnt check in Thursday, I was sick

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-15
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-10-07
Dose 2 — Pfizer-BioNTech
2021-10-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Neck stiffness

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Slight Chest pain and shortness of breath bending over

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 7, dose 2
MedDRA: Asthma, Cough, Dyspnoea, Pre-existing disease, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, wheezing, coughing my asthma was triggered 1 day after the vaccination and continued to spiral out

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2021-10-21
Survey response — day 14, dose 2
MedDRA: Chest pain, Chills, Cough, Dyspnoea, Haemoptysis, Pain in extremity, Pulmonary function test abnormal — Feeling: Poor · Be unable to work or attend school

Free text: Shortness of breath Cough Coughing up blood Failed pulmonary function test Chills Chest and arm pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Impaired work ability, Lung disorder, Office visit — 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: Symptoms: Shortness of breath Cough Stressed lungs Haven't worked since 10-15-21 doesn't look I can return anytime soon · Healthcare visit (other): Pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — day 21, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-07	Pfizer-BioNTech	No
2	2021-10-07	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-09-07

Systemic reaction (other): Right leg from knee to ankle swollen

Release 9 — days 1–6 daily, dose 1

2021-09-08

Systemic reaction (other): Itching all over mild no rash and swollen right leg

2021-09-10

Systemic reaction (other): Actually I didnt check in Thursday, I was sick

Release 10 — days 1–6 daily, dose 2

2021-10-09

Systemic reaction (other): Neck stiffness

2021-10-10

Systemic reaction (other): Slight Chest pain and shortness of breath bending over

Release 10 — day 7, dose 2

2021-10-14

Systemic reaction (other): Shortness of breath, wheezing, coughing my asthma was triggered 1 day after the vaccination and continued to spiral out

Release 10 — day 14, dose 2

2021-10-21

Symptoms: Shortness of breath Cough Coughing up blood Failed pulmonary function test Chills Chest and arm pain

Release 10 — day 21, dose 2

2021-10-30

Symptoms: Shortness of breath Cough Stressed lungs Haven't worked since 10-15-21 doesn't look I can return anytime soon

Healthcare visit (other): Pulmonologist

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	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Haemoptysis	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Lung disorder	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pulmonary function test abnormal	·	·	✓
SRO	Asthma	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Malaise	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Wheezing	·	·	✓

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