4WW-11617-97510

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 217 / MD
Registered: 2021-04-02

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Pain

Free text: Intermittent chest pain 3 times since injection date

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness

Free text: Chest pain

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

Free text: My chest pain has stopped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pre-existing disease — Feeling: Good

Free text: I have RA, bad chest pain for 3 days after the 1st vaccine. I'm afraid to get the 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 2
MedDRA: Chest pain — Feeling: Good · Fever

Free text: After 1st shot, I had chest pains for 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Fatigue, Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My right leg keeps going fully numb. I'm going to see my PCP next week. I'm staying very fatigued. · Healthcare visit (other): In person appt on June 2nd with my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Anaemia, Office visit, Renal impairment — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Anemia and low kidney function 0 · Healthcare visit (other): Office visits with PC and GI doctors, bloodwork

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Fall, Fractured coccyx, Hospitalisation, Lumbar vertebral fracture, Pelvic fracture, Physiotherapy, Urinary retention — 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: A simple fall Dec.24,2021 caused extensive damage: 4 pelvis fractures, 2 lumbar vertebrae fractures, a broken Cosyx, full bladder only emptying less than 1/4 of the way and now taking Tamulosin to aid in emptying. I spent 3 wks in the hospital · Healthcare visit (other): Ongoing physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-03
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	2021-04-01	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Intermittent chest pain 3 times since injection date

2021-04-03

Systemic reaction (other): Chest pain

2021-04-04

Systemic reaction (other): My chest pain has stopped.

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): I have RA, bad chest pain for 3 days after the 1st vaccine. I'm afraid to get the 2nd dose.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): After 1st shot, I had chest pains for 2 days

Release 8 — day 28, dose 2

2021-05-26

Symptoms: My right leg keeps going fully numb. I'm going to see my PCP next week. I'm staying very fatigued.

Healthcare visit (other): In person appt on June 2nd with my PCP

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Anemia and low kidney function 0

Healthcare visit (other): Office visits with PC and GI doctors, bloodwork

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: A simple fall Dec.24,2021 caused extensive damage: 4 pelvis fractures, 2 lumbar vertebrae fractures, a broken Cosyx, full bladder only emptying less than 1/4 of the way and now taking Tamulosin to aid in emptying. I spent 3 wks in the hospital

Healthcare visit (other): Ongoing physical therapy

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	Physiotherapy	·	·	✓
SD	Anaemia	✓	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Fractured coccyx	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lumbar vertebral fracture	·	·	✓
SD	Pelvic fracture	·	·	✓
SD	Renal impairment	✓	·	✓
SD	Urinary retention	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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