59Y-33340-97296

2 vaccinations 14 coded responses 19 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 462 / IN
Registered: 2021-03-15

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-03-14
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: swollen lymph gland in my lower jaw Harder to swallow food

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Lymphadenopathy, Pain in jaw — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph gland in jaw on the right side and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Nordstroms dry... wow wearing mask having hard time breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 7, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepy and tired more than used

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 14, dose 1
MedDRA: Back pain, Chest pain, Dyspnoea, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath unable to catch a deep breath occasionally especially while wearing mask at work some chest pain back ache legs hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 21, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain, Pain — Feeling: Good · Be unable to work

Free text: Shooting Neck pain and stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 28, dose 1
MedDRA: Back pain, Neck pain — Feeling: Fair

Free text: Lower back pain and back of neck and in left side when I turn my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Back pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pain and right leg pain when I walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 28, dose 2
MedDRA: Back pain, Pain in extremity, Rhinorrhoea — Feeling: Fair

Free text: Lower back pain on right and left side thighs on the side painful runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Back pain, Chest pain, Rhinorrhoea — Feeling: Fair

Free text: Lower back pain and runny nose more than usual And slight chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Memory impairment — Feeling: Good

Free text: Forgetting more thing forgetting what I intended to do ..Ex : let me go upstairs to get his medicine then get upstairs and for what I was going to get

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right Shoulder back pain and right knee and calf muscle pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call 1 — Could Not Reach Participant
2021-10-28
Call 2 — Could Not Reach Participant
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Back pain, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache for last 3-4 wks and left leg hip pain and lower back pain more than usual

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): swollen lymph gland in my lower jaw Harder to swallow food

2021-03-16

Systemic reaction (other): Swollen lymph gland in jaw on the right side and shortness of breath

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Nordstroms dry... wow wearing mask having hard time breathing

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Sleepy and tired more than used

Release 6 — day 14, dose 1

2021-03-28

Symptoms: Shortness of breath unable to catch a deep breath occasionally especially while wearing mask at work some chest pain back ache legs hurting

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Shooting Neck pain and stiff

Release 7 — day 28, dose 1

2021-04-12

Symptoms: Lower back pain and back of neck and in left side when I turn my neck

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Shortness of breath

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Lower back pain and right leg pain when I walk

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Lower back pain on right and left side thighs on the side painful runny nose

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Lower back pain and runny nose more than usual And slight chest pain

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Forgetting more thing forgetting what I intended to do ..Ex : let me go upstairs to get his medicine then get upstairs and for what I was going to get

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Right Shoulder back pain and right knee and calf muscle pain

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: Headache for last 3-4 wks and left leg hip pain and lower back pain more than usual

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	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Memory impairment	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dysphagia	✓	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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