4PD-15504-06091

5 vaccinations 15 coded responses 65 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 392 / MS
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Nausea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Joint pains, Nausea, Vomiting

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Nausea, Diarrhea

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Restlessness — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash and my body resness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — day 7, dose 2
MedDRA: Burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Burning sensation, Pruritus — Feeling: Fair

Free text: Burning and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Headaches. Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-24
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Survey response — 3 months, dose 3
MedDRA: Feeling hot, Headache — Feeling: Fair

Free text: Hot,, headache,

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Burning sensation, Self-medication — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: A little burning in my veins in my arm but went , I away. , I took 2, Tylenol l,

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Vascular pain — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My vein hurt in my arm

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Feeling hot, Self-medication — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hot and take 2. Tylenol..

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Survey response — day 21, dose 4
MedDRA: Bronchitis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've had my sinuses , now I have bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-20
Survey response — day 28, dose 4
MedDRA: Bronchitis, Cough, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've been seen for bronchitis and coughing, I've always had siinus..went to trust care.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-24
Call 1 — Left Voicemail
2022-05-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-22
Survey response — 3 months, dose 4
MedDRA: Abdominal pain upper, Cough, Headache, Nausea, Sinus disorder — Feeling: Good

Free text: Headaches sometimes, nasease ,and stomach aches sometimes, coughing not all the time but my sinuses are a little worse at times but take medicine more now. I take my time doing House work.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Dose 5 — Pfizer-BioNTech
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-09
Health check-in — day 7, dose 5
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Survey response — day 14, dose 5
MedDRA: Rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: Rash

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — day 21, dose 5
MedDRA: Office visit, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: A rash has broken out and my doctor haven't seen this kind before, he has taken samples and sent off .I am taken medril to try to counter oct it ...

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-06
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-01
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-02
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-04-22	Pfizer-BioNTech	No
5	2022-10-02	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Burning

2021-04-02

Systemic reaction (other): Rash and my body resness

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Burning

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Burning and itching

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Headaches. Nausea

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Hot,, headache,

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): A little burning in my veins in my arm but went , I away. , I took 2, Tylenol l,

2022-04-26

Systemic reaction (other): My vein hurt in my arm

2022-04-28

Systemic reaction (other): Hot and take 2. Tylenol..

Release 11 — day 21, dose 4

2022-05-13

Symptoms: I've had my sinuses , now I have bronchitis

Release 11 — day 28, dose 4

2022-05-20

Symptoms: I've been seen for bronchitis and coughing, I've always had siinus..went to trust care.

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Headaches sometimes, nasease ,and stomach aches sometimes, coughing not all the time but my sinuses are a little worse at times but take medicine more now. I take my time doing House work.

Release 12 — days 1–6 daily, dose 5

2022-10-06

Systemic reaction (other): No

Release 12 — day 14, dose 5

2022-10-16

Symptoms: Rash

Release 12 — day 21, dose 5

2022-10-23

Symptoms: A rash has broken out and my doctor haven't seen this kind before, he has taken samples and sent off .I am taken medril to try to counter oct it ...

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	Abdominal pain upper	·	·	✓
SD	Bronchitis	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Cough	·	·	✓
SD	Feeling hot	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Vascular pain	·	·	✓

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