5C5-23125-79722

5 vaccinations 18 coded responses 54 check-ins 18 free-text entries 11 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Eye discharge — Feeling: Fair

Free text: Left eye has a discharge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 2
MedDRA: Arthralgia, Medical counselling — Feeling: Good · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Soreness on the right shoulder. · Healthcare visit (other): Home healthcare in-house service

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Poor · None

Adult check-in
2021-03-17
Survey response — day 14, dose 2
MedDRA: Fatigue, Medical counselling, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very tired. I do have precondition illnesses. · Healthcare visit (other): I get help from my sister. Shes my healthcare provider.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal pain, Pain in extremity — Feeling: Poor

Free text: Pain on rt side of body leg knee thigh hip, buttock and back.I dont work!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-16
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Faecal volume increased, Hyperhidrosis — Feeling: Fair

Free text: I had a sweat break out from the booster shot and a mass bowl movement.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Increased viscosity of upper respiratory secretion, Sputum discoloured, Tongue disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Thick tongue, spitting thick mucus. Sometimes its white, dark and a little

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Call 1 — Requested Callback
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-10-04
Survey response — day 7, dose 3
MedDRA: Medical counselling — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: At this moment, I am under care of a Cardiolg doctor.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-04
Callback requested for
06:30PM ET
2021-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-05
Call 1 — Left Voicemail
2021-10-18
Survey response — day 21, dose 3
MedDRA: Diabetes mellitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Diabetes and kidneys.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Lung transplant, Sarcoidosis — Feeling: Fair · 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: Double lungs transplant Sarcoidosis

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, 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)
2022-03-29
Call 1 — Left Voicemail
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 7, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: The above is from other illnesses.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 7, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-20
Call 1 — Left Voicemail
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Survey response — day 28, dose 4
MedDRA: Office visit, Unevaluable event — Feeling: Fair · 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: Symptoms: It's hard to explain. · Healthcare visit (other): My transplant doctor ((b)(6)) requested for me to take the Evusheld shots. I took two Evusheld shots on 05/27/2022 so (b)(6) Medical Center.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — day 28, dose 4
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)
2022-05-05
Call 1 — Left Voicemail
2022-05-13
Health check-in — day 35, dose 4
Feeling: Poor

Adult check-in
2022-05-18
Survey response — day 42, dose 4
MedDRA: Malaise — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: My illnesses consist of a other medical conditions.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-09
Survey response — 3 months, dose 4
MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stomach flu.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in
2022-10-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Survey response — days 1–6 daily, dose 5
MedDRA: Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: The pain is from other incidents.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — days 1–6 daily, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Most of my health conditions are from prior injuries.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Report sent to call center — days 1–6 daily, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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 some other health conditions that has nothing to do with my shot.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — days 1–6 daily, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2022-10-19
Call 1 — Left Voicemail
2022-10-19
Call 1 — Left Voicemail
2022-10-19
Call 1 — Left Voicemail
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair

Free text: I have other health problems that has nothing to do with the shots.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 7, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have pre conditions. They are not from the shots.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-15
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-04-06	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	Flu

Call center

11 call center cases

8 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Left eye has a discharge.

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Soreness on the right shoulder.

Healthcare visit (other): Home healthcare in-house service

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Very tired. I do have precondition illnesses.

Healthcare visit (other): I get help from my sister. Shes my healthcare provider.

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Pain on rt side of body leg knee thigh hip, buttock and back.I dont work!!

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: I had a sweat break out from the booster shot and a mass bowl movement.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Thick tongue, spitting thick mucus. Sometimes its white, dark and a little

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): At this moment, I am under care of a Cardiolg doctor.

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Diabetes and kidneys.

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Double lungs transplant Sarcoidosis

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): The above is from other illnesses.

Release 11 — day 28, dose 4

2022-05-04

Symptoms: It's hard to explain.

Healthcare visit (other): My transplant doctor ((b)(6)) requested for me to take the Evusheld shots. I took two Evusheld shots on 05/27/2022 so (b)(6) Medical Center.

redacted (b)(6)

Release 11 — day 42, dose 4

2022-05-18

Symptoms: My illnesses consist of a other medical conditions.

Release 12 — 3 months, dose 4

2022-07-09

Symptoms: Stomach flu.

Release 12 — days 1–6 daily, dose 5

2022-10-15

Systemic reaction (other): The pain is from other incidents.

2022-10-16

Systemic reaction (other): Most of my health conditions are from prior injuries.

2022-10-17

Systemic reaction (other): I have some other health conditions that has nothing to do with my shot.

2022-10-20

Systemic reaction (other): I have other health problems that has nothing to do with the shots.

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): I have pre conditions. They are not from the shots.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Diabetes mellitus	·	·	✓
SD	Faecal volume increased	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Hyperhidrosis	✓	·	✓
SD	Lung transplant	·	·	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sarcoidosis	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Eye discharge	✓	✓	✓
SRO	Increased viscosity of upper respiratory secretion	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sputum discoloured	·	·	✓
SRO	Tongue disorder	·	·	✓

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