45S-14959-88345

4 vaccinations 7 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-04-03

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

2021-03-13
Dose 1 — Pfizer-BioNTech
2021-04-03
Registered in v-safe
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — day 14, dose 2
MedDRA: Abscess limb, Erythema, Mass, Muscle spasms, Nodule, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have a red bump appear on forearm of same arm and just last night had cramping, lump appear on right foot.. painful. Not sure if this has anything to do with the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 28, dose 2
MedDRA: Body temperature increased, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Temperature is rising, slight headache, and muscle spasms in legs and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 2
MedDRA: Asthenia, Fatigue, Lip blister — Feeling: Good · Be unable to do your normal daily activities

Free text: Broke out with blister on bottom lip.Not sure if it has anything to do with Covid or shot. Felt really tired, no energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Fatigue, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle aches, fatigue, elevated temperature but not a fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu:Pneumonia
2022-03-12
Dose 4 — Pfizer-BioNTech
2022-04-03
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-03
Survey response — 12 months, dose 2
MedDRA: Cancer surgery — 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: I underwent cancer surgery on nose on 3/29/2022. Will have nose reconstruction with forehead flap on4/5/2022.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-09
Survey response — day 28, dose 4
MedDRA: Cancer surgery, Pain, Pyrexia, Surgery — 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 · Hospitalization

Free text: Symptoms: Had 2nd surgery to remove cancer from nose. Low fever, aches, and pain. Not sure if it's totally from surgery or not. · Healthcare visit (other): Surgery 4/5/2022

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail
2022-04-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-12
Survey response — 12 months, dose 4
MedDRA: Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	Flu:Pneumonia
4	2022-03-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Have a red bump appear on forearm of same arm and just last night had cramping, lump appear on right foot.. painful. Not sure if this has anything to do with the shot.

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Temperature is rising, slight headache, and muscle spasms in legs and feet.

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Broke out with blister on bottom lip.Not sure if it has anything to do with Covid or shot. Felt really tired, no energy.

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Muscle aches, fatigue, elevated temperature but not a fever.

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: I underwent cancer surgery on nose on 3/29/2022. Will have nose reconstruction with forehead flap on4/5/2022.

Release 11 — day 28, dose 4

2022-04-09

Symptoms: Had 2nd surgery to remove cancer from nose. Low fever, aches, and pain. Not sure if it's totally from surgery or not.

Healthcare visit (other): Surgery 4/5/2022

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	Surgery	·	·	✓
SD	Abscess limb	○	✓	○
SD	Asthenia	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Cancer surgery	·	·	✓
SD	Erythema	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lip blister	✓	✓	✓
SD	Mass	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nodule	○	✓	○
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓

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