5BV-27085-67709

5 vaccinations 9 coded responses 41 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Survey response — day 0, dose 1
MedDRA: Injection site pain, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling

Free text: Runny Nose and Pain at Injection Site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: When I move my arm, I feel the pain in the spot where I received injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 7, dose 1
MedDRA: Electrocardiogram pacemaker spike, Pre-existing disease — Feeling: Fair · Site: Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a pacemaker and received a call from the device clinic that my heart was pacing 2 days ago around 2am. They wanted to know if I felt it. I did not. They are going to sched me for a device check. in the early

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Muscle or body aches

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 28, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My asthma flared up and I needed to give myself more puffs if Albuterol as well as get myself oxygen treatments.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 35, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Dose 5 — Pfizer-BioNTech
2022-10-11
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-10-12
Survey response — day 14, dose 5
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma Excaburation

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — day 14, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Call 2 — Left Voicemail
2022-10-13
Call 1 — Left Voicemail
2022-10-21
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Asthma, Illness, Nasopharyngitis, Pre-existing disease, Productive cough, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have caught a cold & no one in my inner circle has any sickness. My asthma flared up. I am coughing up biege colored thick phlegm.

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-29
Call 3 — Left Voicemail
2022-12-29
Call 2 — Left Voicemail
2022-12-29
Call 1 — Left Voicemail
2023-03-29
Survey response — 6 months, dose 5
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-28	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Runny Nose and Pain at Injection Site.

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): When I move my arm, I feel the pain in the spot where I received injection.

2021-02-17

Systemic reaction (other): None

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): I have a pacemaker and received a call from the device clinic that my heart was pacing 2 days ago around 2am. They wanted to know if I felt it. I did not. They are going to sched me for a device check. in the early

Release 11 — day 28, dose 4

2022-05-19

Symptoms: My asthma flared up and I needed to give myself more puffs if Albuterol as well as get myself oxygen treatments.

Release 11 — day 35, dose 4

2022-05-26

Symptoms: Runny nose

Release 12 — day 14, dose 5

2022-10-12

Symptoms: Asthma Excaburation

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: I have caught a cold & no one in my inner circle has any sickness. My asthma flared up. I am coughing up biege colored thick phlegm.

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	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	Illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Electrocardiogram pacemaker spike	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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