54X-26360-26246

4 vaccinations 8 coded responses 28 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 301 / GA
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in arm around injection site (muscles) began a couple of days after 1st injection. It has continued to interfere with my daily activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-01
Survey response — day 7, dose 2
MedDRA: Cough, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cough · Healthcare visit (other): None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Hospitalisation, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: COPD flare Hospitalized x3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-05
Dose 3 — Pfizer-BioNTech
2022-04-07
Call 1 — Left Voicemail
2022-04-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-03
Survey response — 6 months, dose 3
MedDRA: Office visit, Respiratory disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Undiagnosed issue with breathing. It has nothing to do with Covid. Primary doctor consulted. I am currently going through testing to find cause. Heart and lungs have been cleared with exception of Heart Echo to be done in October.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Dose 4 — Pfizer-BioNTech
2022-10-21
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — day 14, dose 4
MedDRA: Cardiac failure congestive — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been diagnosed with Congestive Heart Failure.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 35, dose 4
MedDRA: Adverse drug reaction, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Low blood pressure due to meds for congestive heart failure.

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-11-22
Call 2 — Could Not Reach Participant
2022-11-22
Call 1 — Could Not Reach Participant
2022-11-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Survey response — 6 months, dose 4
MedDRA: Implantable defibrillator insertion — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2022-03-05	Pfizer-BioNTech	No
4	2022-10-12	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Pain in arm around injection site (muscles) began a couple of days after 1st injection. It has continued to interfere with my daily activities.

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Cough

Healthcare visit (other): None

Release 8 — day 14, dose 2

2021-05-08

Symptoms: COPD flare Hospitalized x3

Release 12 — 6 months, dose 3

2022-09-03

Symptoms: Undiagnosed issue with breathing. It has nothing to do with Covid. Primary doctor consulted. I am currently going through testing to find cause. Heart and lungs have been cleared with exception of Heart Echo to be done in October.

Release 12 — day 7, dose 4

2022-10-21

Release 12 — day 14, dose 4

2022-10-26

Symptoms: I have been diagnosed with Congestive Heart Failure.

Release 12 — day 35, dose 4

2022-11-18

Symptoms: Low blood pressure due to meds for congestive heart failure.

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	Unevaluable event	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Cardiac failure congestive	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Implantable defibrillator insertion	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SRO	Cough	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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