4CP-11881-38244

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 494 / MI
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe swelling and moderate pain in axillary area under arm of injection. Cannot wear a bra as tlo painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site lymphadenopathy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Adenopathy of arm injection placed, baseball sized

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Adenopathy under arm injection qas given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Fatigue or tiredness

Free text: Mild swelling (adenopathy) under left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 21, dose 2
MedDRA: Fatigue, Office visit, White blood cell count increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue. Seen by pcp and slighltly elevated wbc12.9

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Call 2 — Left Voicemail
2021-08-09
Survey response — 3 months, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Edema in bilateral feet that has been intermittant since May.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 2 — Left Voicemail
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-08
Survey response — 12 months, dose 2
MedDRA: Breast mass, Mammogram abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Found 3 amall masses in left breasr on routine mammogram qhich was completed 4 mos after booster vaccine. Awaiting biopsy reults just completed · Healthcare visit (other): Ultrasound and biopsy

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Severe swelling and moderate pain in axillary area under arm of injection. Cannot wear a bra as tlo painful

2021-05-11

Systemic reaction (other): Adenopathy of arm injection placed, baseball sized

2021-05-12

Systemic reaction (other): Adenopathy under arm injection qas given

2021-05-13

Systemic reaction (other): Mild swelling (adenopathy) under left arm

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Fatigue. Seen by pcp and slighltly elevated wbc12.9

Release 9 — 3 months, dose 2

2021-08-09

Symptoms: Edema in bilateral feet that has been intermittant since May.

Release 11 — 12 months, dose 2

2022-05-08

Symptoms: Found 3 amall masses in left breasr on routine mammogram qhich was completed 4 mos after booster vaccine. Awaiting biopsy reults just completed

Healthcare visit (other): Ultrasound and biopsy

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	Unevaluable event	·	·	✓
SD	Breast mass	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Mammogram abnormal	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Office visit	✓	✓	✓
SD	White blood cell count increased	✓	✓	✓
SRO	Injection site lymphadenopathy	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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