5AL-17710-85382

3 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 917 / CA
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Pfizer-BioNTech
2020-12-31
Survey response — day 0, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Mild rash on opposite arm of injection lasting approx 10 minutes then resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Tenderness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Moderate arm pain at site during the night that have since resolved. Also having some odd left finger tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Yesterday I had a sore throat and 2 coughing episodes. Today the symptoms seem to be mostly resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-01-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 2
MedDRA: Renal mass — Feeling: Good

Free text: Lump near left kidney

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 42, dose 2
MedDRA: Lymphoma — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lyphoma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash to left side of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-11
Call 2 — Could Not Reach Participant
2021-10-14
Call 3 — Could Not Reach Participant
2022-01-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Dose 3 — Moderna
2022-04-20
Survey response — days 1–6 daily, dose 3
MedDRA: Rash, Renal pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Kidney pain. Rash to hands and neck

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 35, dose 3
MedDRA: Back pain, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Debilitating lower back pain. Painful rash to neck, chest and bilateral feet and legs.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech
3	2022-04-14	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-31

Systemic reaction (other): Mild rash on opposite arm of injection lasting approx 10 minutes then resolved

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Moderate arm pain at site during the night that have since resolved. Also having some odd left finger tenderness.

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Yesterday I had a sore throat and 2 coughing episodes. Today the symptoms seem to be mostly resolved.

Release 4 — day 21, dose 2

2021-02-12

Symptoms: Lump near left kidney

Release 5 — day 42, dose 2

2021-03-05

Symptoms: Lyphoma

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Rash to left side of neck

Release 11 — days 1–6 daily, dose 3

2022-04-20

Systemic reaction (other): Kidney pain. Rash to hands and neck

Release 11 — day 35, dose 3

2022-05-19

Symptoms: Debilitating lower back pain. Painful rash to neck, chest and bilateral feet and legs.

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	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Lymphoma	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Renal mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Renal pain	·	·	✓
SRO	Tenderness	✓	✓	✓

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