47A-28349-63086

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 863 / AZ
Registered: 2021-03-02

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 2
MedDRA: Hot flush — Feeling: Good

Free text: Had heat flush about 3 hours after shot. lasted lss than one hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Less fatigued today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: HBP · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Gout, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Gout · Healthcare visit (other): Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Survey response — 6 months, dose 2
MedDRA: Depression, Rib fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Depression and broken ribs.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
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)
2021-09-03
Call 1 — Left Voicemail
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have osteo arthritis, but I feel a lot moore sore and tired than usual. Not sharp pains, just dull aches.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Survey response — day 28, dose 3
MedDRA: Depression, Office visit, Suicidal ideation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Depression, suicidal thoughts, due to the recent death of my son from Covid, not the vaccine I am certain. · Healthcare visit (other): Visit to PC for referral to psychiatric health.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-26
Call 1 — Could Not Reach Participant
2021-10-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Back disorder, Back pain — Feeling: Good

Free text: Back problems-lower back pain. +

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Had heat flush about 3 hours after shot. lasted lss than one hour.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): None

2021-03-07

Systemic reaction (other): Less fatigued today.

Release 7 — day 42, dose 2

2021-04-13

Symptoms: HBP

Healthcare visit (other): PCP

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Gout

Healthcare visit (other): Doctor

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: Depression and broken ribs.

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): I have osteo arthritis, but I feel a lot moore sore and tired than usual. Not sharp pains, just dull aches.

Release 10 — day 28, dose 3

2021-10-25

Symptoms: Depression, suicidal thoughts, due to the recent death of my son from Covid, not the vaccine I am certain.

Healthcare visit (other): Visit to PC for referral to psychiatric health.

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Back problems-lower back pain. +

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	Back disorder	·	·	✓
SD	Back pain	·	·	✓
SD	Death of relative	·	·	○
SD	Depression	✓	·	✓
SD	Gout	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rib fracture	✓	·	✓
SD	Suicidal ideation	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓

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