5B4-11146-41759

4 vaccinations 23 coded responses 50 check-ins 22 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 312 / GA
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Itching on hands

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Chest pain mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability, Palpitations, Swelling face, Tongue disorder — Feeling: Poor · Site: Swelling, Itching · Fatigue or tiredness, Abdominal pain

Free text: Facial swelling, tongue feels different, heart racing, irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Sneezing — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain

Free text: Coughing and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash, Skin irritation — Feeling: Fair

Free text: Bumps on back and stomach that come again, itching and irritation over my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 28, dose 2
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — day 35, dose 2
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Chest pain — Feeling: Fair

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Dose 3 — Moderna
2021-12-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph node swelling under arm of site injection

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good · Site: Itching · Nausea

Free text: Dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 7, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Itching · Chills, Muscle or body aches

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — day 14, dose 3
MedDRA: Cough, Sneezing — Feeling: Good

Free text: Coughing; sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — day 28, dose 3
MedDRA: Pyrexia — Feeling: Good

Free text: Feverish feeling in the evening hours

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — day 35, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Runny nose and cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 3 months, dose 3
MedDRA: Chest pain — Feeling: Fair

Free text: Chest pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Dose 4 — Moderna
2022-05-19
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-06-02
Survey response — day 14, dose 4
MedDRA: Road traffic accident — Feeling: Poor · Be unable to work or attend school

Free text: Auto Accident

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-06-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-18
Survey response — 3 months, dose 4
MedDRA: Cough, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feverish, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-19
Survey response — 12 months, dose 4
MedDRA: Blood cholesterol increased, Glucose tolerance impaired, Glycosylated haemoglobin increased, Hypertension, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-19
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-12-28	Moderna	No
4	2022-05-19	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Itching on hands

2021-04-13

Systemic reaction (other): Chest pain mild

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Facial swelling, tongue feels different, heart racing, irritable

2021-05-02

Systemic reaction (other): dizziness

2021-05-04

Systemic reaction (other): Coughing and sneezing

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Bumps on back and stomach that come again, itching and irritation over my body

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Dry cough

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Dry cough

Release 8 — day 35, dose 2

2021-06-06

Symptoms: Dry cough

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Chest pain

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): Dry throat

2021-12-31

Systemic reaction (other): Lymph node swelling under arm of site injection

2022-01-02

Systemic reaction (other): Dry cough

2022-01-03

Systemic reaction (other): Dry cough

Release 10 — day 7, dose 3

2022-01-04

Systemic reaction (other): Chest pain

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Coughing; sneezing

Release 11 — day 28, dose 3

2022-01-25

Symptoms: Feverish feeling in the evening hours

Release 11 — day 35, dose 3

2022-02-01

Symptoms: Runny nose and cough

Release 11 — day 42, dose 3

2022-02-08

Symptoms: Fatigue

Release 11 — 3 months, dose 3

2022-03-29

Symptoms: Chest pains

Release 11 — day 14, dose 4

2022-06-02

Symptoms: Auto Accident

Release 12 — 3 months, dose 4

2022-08-18

Symptoms: Feverish, cough, 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
HCVO	Office visit	·	·	✓
SD	Blood cholesterol increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Glycosylated haemoglobin increased	·	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Road traffic accident	·	·	✓
SD	Skin irritation	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Tongue disorder	✓	✓	✓

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