3VH-33587-83253

4 vaccinations 13 coded responses 36 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 781 / TX
Registered: 2021-04-30

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

2021-04-30
Registered in v-safe
2021-04-30
Dose 1 — Pfizer-BioNTech
2021-04-30
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: I suffer from SVT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain lower — Feeling: Fair · Site: Pain · Headache

Free text: Pain on right side below stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-09
Health check-in — day 7, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-05-14
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in my left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Pfizer-BioNTech
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Got a rash under my right breast on Tuesday And some body aches and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Upset stomach last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 21, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Good

Free text: Muscular aches (legs)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 28, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscular aches and pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-06
Dose 3 — Pfizer-BioNTech
2022-03-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-25
Dose 4 — Pfizer-BioNTech
2022-05-25
Survey response — day 0, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just a lil pain where u got the shot

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just that im feeling a lil pain at the site if the vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-30
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspepsia — Feeling: Fair · Fatigue or tiredness

Free text: Lil indigestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Fatigue, Throat irritation — Feeling: Good

Free text: A lil cough and itchy throat Also was feelin a lil tired earlier but feelin better

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-24
Survey response — 3 months, dose 4
MedDRA: Abdominal pain upper, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Severe Stomach Pain · Healthcare visit (other): And F/U with PCM

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-25
Call 1 — Left Voicemail
2022-11-23
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-25
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Pfizer-BioNTech
2	2021-05-24	Pfizer-BioNTech
3	2021-12-06	Pfizer-BioNTech	No
4	2022-05-25	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-04-30

Systemic reaction (other): I suffer from SVT

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): Pain on right side below stomach

2021-05-04

Systemic reaction (other): No

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Pain in my left leg

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): Got a rash under my right breast on Tuesday And some body aches and pain

Release 8 — day 7, dose 2

2021-05-31

Systemic reaction (other): Upset stomach last night

Release 9 — day 21, dose 2

2021-06-14

Symptoms: Muscular aches (legs)

Release 9 — day 28, dose 2

2021-06-21

Symptoms: Muscular aches and pains

Release 11 — day 0, dose 4

2022-05-25

Systemic reaction (other): Just a lil pain where u got the shot

Release 11 — days 1–6 daily, dose 4

2022-05-26

Systemic reaction (other): Just that im feeling a lil pain at the site if the vaccination

2022-05-30

Systemic reaction (other): Lil indigestion

2022-05-31

Systemic reaction (other): A lil cough and itchy throat Also was feelin a lil tired earlier but feelin better

Release 12 — 3 months, dose 4

2022-08-24

Symptoms: Severe Stomach Pain

Healthcare visit (other): And F/U with PCM

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	Abdominal pain upper	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Throat irritation	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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