4CW-43046-35080

4 vaccinations 14 coded responses 25 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 769 / TX
Registered: 2021-02-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-07
Registered in v-safe
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Stiffness of arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Coughing and some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work

Free text: Some coughing and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Good · Chills

Free text: Temporary coldness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in my left hand palm

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

Free text: Left hand palm feeling some better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Cough, Respiratory tract congestion, Wheezing — Feeling: Good

Free text: Occational chest congestion while coughing. Wheezing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Back pain, Blood pressure increased, Cough, Dry skin, Fatigue, Respiratory tract congestion, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Congested coughing, more weezing, very dry facial skin, and lower back pain, fatigue. Elevated blood pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash or hives

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Dose 3 — Pfizer-BioNTech
2021-12-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Fatigue, Office visit, Pre-existing disease — 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

Free text: Symptoms: I have arthritis with stiffness in lower extremities. Gout in toes and thumbs. Burning in wrist, fingers, and lower leg. Still fatigue. · Healthcare visit (other): Doctor visits

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-04
Call successful
Participant prefers to complete VAERS report online
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Abdominal pain, Abdominal rigidity, Burning sensation, Computerised tomogram abnormal, Hernia, Musculoskeletal stiffness, Office visit — 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

Free text: Symptoms: Spasm, stiffness, and pain in Abdomen area. CT SCAN shows Hernia. Still have burning on wrist, fingers, and leg. · Healthcare visit (other): Dr visit and CT SCAN

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
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

1 call case(s)
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-04-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 21, dose 4
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen feet and legs

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 28, dose 4
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extra swelling in my right feet and leg.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — day 35, dose 4
MedDRA: Chest pain, Muscle spasms, Peripheral swelling, Unevaluable event — 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, Emergency room or emergency department visit

Free text: Symptoms: Chest pain spasm and feet and leg swelling. · Healthcare visit (other): EKG, Chest xray, blood work, nitrogen, lasix

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-06-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Stiffness of arm

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Coughing and some congestion

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Some coughing and congestion

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Temporary coldness

2021-03-02

Systemic reaction (other): Pain in my left hand palm

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Left hand palm feeling some better

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Occational chest congestion while coughing. Wheezing.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Congested coughing, more weezing, very dry facial skin, and lower back pain, fatigue. Elevated blood pressure.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Rash or hives

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: I have arthritis with stiffness in lower extremities. Gout in toes and thumbs. Burning in wrist, fingers, and lower leg. Still fatigue.

Healthcare visit (other): Doctor visits

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Spasm, stiffness, and pain in Abdomen area. CT SCAN shows Hernia. Still have burning on wrist, fingers, and leg.

Healthcare visit (other): Dr visit and CT SCAN

Release 11 — day 21, dose 4

2022-05-19

Symptoms: Swollen feet and legs

Release 11 — day 28, dose 4

2022-05-26

Symptoms: Extra swelling in my right feet and leg.

Release 11 — day 35, dose 4

2022-06-03

Symptoms: Chest pain spasm and feet and leg swelling.

Healthcare visit (other): EKG, Chest xray, blood work, nitrogen, lasix

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	Abdominal pain	·	·	✓
SD	Abdominal rigidity	·	·	✓
SD	Back pain	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Chest pain	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Cough	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hernia	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Urticaria	✓	·	✓
SD	Wheezing	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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