4XF-30965-58081

4 vaccinations 19 coded responses 53 check-ins 19 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 104 / NY
Registered: 2021-02-04

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Bone pain, Self-medication — Feeling: Good · Site: Pain

Free text: I had pain on left side of back on left collarbone. Took Tylenol and it helped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: Pain

Free text: Again the pinching in left shoulder blade

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Good · Fatigue or tiredness

Free text: Still a little pain in left backbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in left shoulder blade

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Good · Site: Pain, Itching · Joint pains

Free text: 2 days ago for 2 days Pain in left breast same arm received-injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Good · Joint pains

Free text: Mild scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Welts on right thigh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Huge welts on arms and thighs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Dose 3 — Pfizer-BioNTech
2021-10-17
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feet and hands crping

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Blepharospasm — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Nausea

Free text: Twitching right eye

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Skin tightness — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Under left arm tightness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-10-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Very tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-17
Survey response — 6 months, dose 3
MedDRA: Arthralgia — Feeling: Poor · 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: Hip pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-07-21
Dose 4 — Pfizer-BioNTech
2022-07-21
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-23
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: A lot coughing

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2022-07-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-07-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2022-07-28
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-08-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-27
Survey response — day 35, dose 4
MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint pain entire left leg

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No
4	2022-07-21	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): I had pain on left side of back on left collarbone. Took Tylenol and it helped

2021-02-05

Systemic reaction (other): Again the pinching in left shoulder blade

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Still a little pain in left backbone

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Pain in left shoulder blade

2021-02-26

Systemic reaction (other): Coughing

2021-02-27

Systemic reaction (other): Coughing

2021-02-28

Systemic reaction (other): 2 days ago for 2 days Pain in left breast same arm received-injection.

2021-03-01

Systemic reaction (other): Mild scratchy throat

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Welts on right thigh

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Very tired

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Huge welts on arms and thighs

Release 10 — days 1–6 daily, dose 3

2021-10-18

Systemic reaction (other): Feet and hands crping

2021-10-19

Systemic reaction (other): Coughing

2021-10-20

Systemic reaction (other): Twitching right eye

2021-10-21

Systemic reaction (other): Under left arm tightness.

Release 10 — day 28, dose 3

2021-11-14

Symptoms: Very tired

Release 11 — 6 months, dose 3

2022-04-17

Symptoms: Hip pain

Release 12 — days 1–6 daily, dose 4

2022-07-23

Systemic reaction (other): A lot coughing

Release 12 — day 35, dose 4

2022-08-27

Symptoms: Joint pain entire left leg

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	Arthralgia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Blepharospasm	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin tightness	·	·	✓
SRO	Throat irritation	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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