49V-22106-74004

4 vaccinations 7 coded responses 14 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 191 / PA
Registered: 2021-03-06

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-06
Registered in v-safe
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Erythema, Urticaria — Feeling: Good

Free text: A red welt on left bicep, right forearm, forehead, right cheek, and left temple

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Rheumatoid arthritis · Healthcare visit (other): In office visit to rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 months, 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

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-08-27
Dose 3 — Pfizer-BioNTech
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Alopecia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Hair loss from methotrexate

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 2 — Left Voicemail
2021-10-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-28
Survey response — 3 months, dose 3
MedDRA: Cough, Office visit, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough congestion sore throat sinus pressure for three weeks · Healthcare visit (other): Primary care doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Report sent to call center — 3 months, dose 3
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)
2021-12-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-27
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Chills, Cough, Diarrhoea, Dizziness, Fatigue, Office visit, Pain, Rhinorrhoea, Vomiting — Feeling: Good · 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: Mid December through mid January I had a cough, runny nose, fatigue. Saw pcp was prescribed inhaler, steroid, antibiotic. Body aches and pains, stomach pains, vomiting, diarrhea, chills, dizziness, fatigue for four days last week. · Healthcare visit (other): Primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 6 months, dose 3
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)
2022-03-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-16
Dose 4 — Pfizer-BioNTech
2022-05-31
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-16
Survey response — 3 months, dose 4
MedDRA: Office visit, Staphylococcal infection — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: MRSA skin infection · Healthcare visit (other): PCP follow up

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Report sent to call center — 3 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-18
Call 2 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 2 — Left Voicemail
2022-10-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-18
Survey response — 12 months, dose 4
MedDRA: Staphylococcal infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-18
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-08-27	Pfizer-BioNTech	No
4	2022-04-16	Pfizer-BioNTech	No

Call center

6 call center cases

4 successful · 2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 35, dose 2

2021-04-24

Symptoms: A red welt on left bicep, right forearm, forehead, right cheek, and left temple

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Rheumatoid arthritis

Healthcare visit (other): In office visit to rheumatologist

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Hair loss from methotrexate

Release 10 — 3 months, dose 3

2021-11-28

Symptoms: Cough congestion sore throat sinus pressure for three weeks

Healthcare visit (other): Primary care doctor visit

Release 11 — 6 months, dose 3

2022-02-27

Symptoms: Mid December through mid January I had a cough, runny nose, fatigue. Saw pcp was prescribed inhaler, steroid, antibiotic. Body aches and pains, stomach pains, vomiting, diarrhea, chills, dizziness, fatigue for four days last week.

Healthcare visit (other): Primary care doctor

Release 12 — 3 months, dose 4

2022-07-16

Symptoms: MRSA skin infection

Healthcare visit (other): PCP follow up

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	Alopecia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Staphylococcal infection	·	·	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	·	·	✓

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