4Z4-26979-50205

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 007 / PR
Registered: 2021-04-15

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: Only itching left leg ( Area of the injection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus, Pain in extremity — Feeling: Good · Site: Pain, Itching

Free text: Left leg pain and itching( area of vacine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: My Headache is like Migraine( left side) and the pain continues from the neck to the shoulder, also pain in the left leg (area where the vaccine was given)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Gait disturbance, Nausea, Pain — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: It's little difficult to walk, some nausea, a few symptom of dizzy. I take vitamins and medicine for Pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Office visit, Pyrexia, Rhinorrhoea — Feeling: Fair

Free text: runny nose, fever some days, my doctor prescribed antibiotic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 28, dose 2
MedDRA: Injection site pain, Muscle spasms — Feeling: Good

Free text: I still have some pain around the area where the vaccine was injected, that is, I can feel some slight inflammation that causes cramps in my left leg (the injection was given on the left foot).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Continue with leg pain . Yesterrday I fall at the bathroom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Blood test abnormal — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Citoplasma Reactive.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call 1 — Left Voicemail
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-10
Survey response — day 0, dose 3
MedDRA: Fatigue — Feeling: Good · Site: Pain

Free text: A Little tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Chest pain, Groin pain, Inflammation, Pain in extremity — Feeling: Poor · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: flammation and pain in the groin area of the left foot where the vaccine was given. also pain and inflammation of the axillary area and chest.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heavy headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Only itching left leg ( Area of the injection)

2021-04-17

Systemic reaction (other): Left leg pain and itching( area of vacine)

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): My Headache is like Migraine( left side) and the pain continues from the neck to the shoulder, also pain in the left leg (area where the vaccine was given)

2021-05-09

Systemic reaction (other): It's little difficult to walk, some nausea, a few symptom of dizzy. I take vitamins and medicine for Pain.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: runny nose, fever some days, my doctor prescribed antibiotic

Release 8 — day 28, dose 2

2021-06-03

Symptoms: I still have some pain around the area where the vaccine was injected, that is, I can feel some slight inflammation that causes cramps in my left leg (the injection was given on the left foot).

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Continue with leg pain . Yesterrday I fall at the bathroom

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Citoplasma Reactive.

Release 10 — day 0, dose 3

2021-11-10

Systemic reaction (other): A Little tired

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): Dizzy

2021-11-12

Systemic reaction (other): flammation and pain in the groin area of the left foot where the vaccine was given. also pain and inflammation of the axillary area and chest.

Release 10 — day 28, dose 3

2021-12-08

Symptoms: Heavy headache

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	Blood test abnormal	✓	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Groin pain	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Inflammation	·	·	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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