4WP-17847-02166

3 vaccinations 15 coded responses 33 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 923 / CA
Registered: 2021-02-24

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

Registered dependents

9AZ-14564-10382 Child or adolescent in my care · Male · 2021-11-25

Timeline

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Headache, Injection site pruritus, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: On 3/4/2021 arm area got shot in starting feeling itchy like I got bite from miqusto, and next day a little rash on spot. Rubbed Alcohol and reported to my allergies doctor now fine. Been having headaches but think its just my allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Chest pain, Dizziness, Medical counselling, Nervousness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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): Dizzy ,chest pain, nervous, bloating · Healthcare visit (other): Called regular doctor and allergies doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — days 1–6 daily, 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)
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Nodule — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Swollen knots in neck, under arm, and breast pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Headache, Lymphadenopathy, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Glands in neck area swollen, pain in under arm, head pain in back and front, some running nose today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Swollen lypnods

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Free text: Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 42, dose 2
MedDRA: Ageusia, Dizziness, Fatigue — Feeling: Good

Free text: For some reason, I was dizzy and very tired and one day I had no tastes but fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Pfizer-BioNTech
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Taste disorder — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Taste messed up

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral, Oral herpes — Feeling: Good · Site: Swelling, Itching

Free text: Fever bluster on my lips of mouth, swelling in under arm pits & pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Itching

Free text: Lil swelling still in under arms pits

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-09
Call 2 — Left Voicemail
2021-12-09
Call 2 — Left Voicemail
2021-12-09
Call 2 — Left Voicemail
2021-12-09
Call 2 — Left Voicemail
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 28, dose 3
MedDRA: Cough, Headache, Pain, Taste disorder — Feeling: Fair · Be unable to work or attend school

Free text: Seem to not have taste right, and slight headaches ,and coughing at night lil body pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 42, dose 3
MedDRA: Diarrhoea, Headache, Musculoskeletal stiffness, Unevaluable event — Feeling: Fair · Be unable to work or attend school

Free text: Headaches, stiff neck, tummy, and Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — 3 months, dose 3
MedDRA: Cough, Feeling abnormal, Lymphadenopathy, Wheezing — Feeling: Fair · Be unable to work or attend school

Free text: Glads always seem to swell even in right breast where shot side given, coughing/ weezing at night never ever been like that, taste seems to come and go. Just not feeling myself before having covid or shots.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Malaise, Pre-existing disease, Productive cough, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: One dat last week woke up and couldn't breath, been experiencing lots of flem build up different times, took three covid test all neg, so doctors say im having long symptoms or long allergies symptoms to the shots which also made me sick, so not sure

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail
2022-05-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-10

Symptoms: On 3/4/2021 arm area got shot in starting feeling itchy like I got bite from miqusto, and next day a little rash on spot. Rubbed Alcohol and reported to my allergies doctor now fine. Been having headaches but think its just my allergies.

Release 5 — day 0, dose 2

2021-03-17

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Dizzy ,chest pain, nervous, bloating

Healthcare visit (other): Called regular doctor and allergies doctor

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Swollen knots in neck, under arm, and breast pain

2021-03-21

Systemic reaction (other): Glands in neck area swollen, pain in under arm, head pain in back and front, some running nose today.

2021-03-23

Systemic reaction (other): Swollen lypnods

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Swollen glands

Release 8 — day 42, dose 2

2021-04-28

Symptoms: For some reason, I was dizzy and very tired and one day I had no tastes but fine now.

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): Taste messed up

2021-11-27

Systemic reaction (other): Fever bluster on my lips of mouth, swelling in under arm pits & pain

2021-11-28

Systemic reaction (other): Lil swelling still in under arms pits

Release 10 — day 28, dose 3

2021-12-21

Symptoms: Seem to not have taste right, and slight headaches ,and coughing at night lil body pain.

Release 10 — day 42, dose 3

2022-01-06

Symptoms: Headaches, stiff neck, tummy, and Diarrhea

Release 11 — 3 months, dose 3

2022-02-22

Symptoms: Glads always seem to swell even in right breast where shot side given, coughing/ weezing at night never ever been like that, taste seems to come and go. Just not feeling myself before having covid or shots.

Release 11 — 6 months, dose 3

2022-05-26

Symptoms: One dat last week woke up and couldn't breath, been experiencing lots of flem build up different times, took three covid test all neg, so doctors say im having long symptoms or long allergies symptoms to the shots which also made me sick, so not sure cut off by CDC

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	Medical counselling	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Taste disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Wheezing	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Oral herpes	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Taste disorder	·	·	✓

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