4BG-27567-20598

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 8 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 773 / TX
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Diarrhea

Adult check-in
2021-03-26
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Nausea

Free text: Sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Pain in extremity — Feeling: Fair

Free text: Have pain on my inner thigh from my knee to upper thigh that is sore and bruised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Thrombophlebitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: THROMBOPHLEBTIS in Leg & Arm went to Dr sending me for Venous Doppler testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 7, dose 2
MedDRA: Deep vein thrombosis, Office visit, Thrombosis — Feeling: Fair · Be unable to work, 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: Systemic reaction (other): Superficial Cephalic Vein Thrombosis in right arm & leg Blood Clots found · Healthcare visit (other): Dr Appointment & Urgent Care to have Ultrasound to look for blood clots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 14, dose 2
MedDRA: Thrombosis — 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: New blood clots in my other leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 21, dose 2
MedDRA: Deep vein thrombosis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Deep Vein Thrombosis diagnosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 28, dose 2
MedDRA: Deep vein thrombosis — Feeling: Poor · 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: DVT in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 35, dose 2
MedDRA: Thrombosis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood clots · Healthcare visit (other): Testing for Hematologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely tired, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Thrombosis — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Blood Clots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
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)
2021-07-14
Call 1 — Left Voicemail
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Ischaemic stroke, Transient ischaemic attack — Feeling: Poor · Be unable to work or attend school

Free text: Ischemic Stroke and TIA

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Blindness, Cerebrovascular accident — 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 · Hospitalization

Free text: Stroke and loss of vision

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 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

Hospitalization · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech

Call center

8 call center cases

8 unsuccessful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Sinus drainage

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Have pain on my inner thigh from my knee to upper thigh that is sore and bruised

2021-04-15

Systemic reaction (other): THROMBOPHLEBTIS in Leg & Arm went to Dr sending me for Venous Doppler testing

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Superficial Cephalic Vein Thrombosis in right arm & leg Blood Clots found

Healthcare visit (other): Dr Appointment & Urgent Care to have Ultrasound to look for blood clots

Release 7 — day 14, dose 2

2021-04-23

Symptoms: New blood clots in my other leg

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Deep Vein Thrombosis diagnosis

Release 8 — day 28, dose 2

2021-05-07

Symptoms: DVT in legs

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Blood clots

Healthcare visit (other): Testing for Hematologist

Release 8 — day 42, dose 2

2021-05-23

Symptoms: Extremely tired, shortness of breath

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Blood Clots

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: Ischemic Stroke and TIA

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Stroke and loss of vision

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blindness	·	·	✓
SD	Cerebrovascular accident	·	·	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Ischaemic stroke	·	·	✓
SD	Thrombosis	✓	✓	✓
SD	Transient ischaemic attack	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Deep vein thrombosis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Thrombophlebitis	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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