4EM-19080-11437

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 750 / TX
Registered: 2021-03-30

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Immediate post-injection reaction, Lymphadenopathy, Neck pain, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Neck pain and nodule swollen. left arm tingling and hands numb after a1/2 hour of the vaccine duration of 10 to 15 minutes the numbness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains

Free text: Sore throat, dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dry mouth, Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Sore throat, dry mouth and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Sore throat, dry mouth

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

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good · Muscle or body aches

Free text: Sore throat, dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — day 14, dose 2
MedDRA: Cough, Dry mouth, Myalgia, Oropharyngeal pain — Feeling: Fair

Free text: Muscles aches , sore throat , dry mouth . Sporadically coughs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Alopecia, Conjunctivitis, Cough, Tonsillolith — Feeling: Fair · Be unable to work or attend school

Free text: Tonsil stones ,dry cough , hair loss , conjuntivitis , pink eye.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Laryngopharyngitis, Myalgia, Oropharyngeal pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Still sore throat, dx= Laryngopharyngitis. Muscle pain .

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — 6 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)
2021-10-21
Call 1 — Could Not Reach Participant
2021-10-26
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): Neck pain and nodule swollen. left arm tingling and hands numb after a1/2 hour of the vaccine duration of 10 to 15 minutes the numbness.

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Sore throat, dry mouth

2021-04-01

Systemic reaction (other): Sore throat, dry mouth and cough

2021-04-02

Systemic reaction (other): Sore throat, dry mouth

2021-04-04

Systemic reaction (other): Sore throat and dry mouth

2021-04-05

Systemic reaction (other): Sore throat, dry mouth

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Muscle aches, sore throat

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Muscles aches , sore throat , dry mouth . Sporadically coughs.

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Tonsil stones ,dry cough , hair loss , conjuntivitis , pink eye.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Still sore throat, dx= Laryngopharyngitis. Muscle 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
SD	Alopecia	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Laryngopharyngitis	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Tonsillolith	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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