5KG-13900-10683

4 vaccinations 9 coded responses 28 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 630 / MO
Registered: 2021-04-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Peripheral swelling — Feeling: Good · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea

Free text: The swelling on my arm is so small. Quarter size. It hurt last night. Even less today. My symptoms was all on the 30th. My vaccination was the 29th.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling — Feeling: Good · Site: Swelling

Free text: The swelling where I got my injection is very tiny. Almost gone.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling — Feeling: Good · Site: Swelling

Free text: The swelling on my injection site is very small. Smaller than yesterday. Close to being gone.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling — Feeling: Good · Site: Swelling

Free text: My swelling is smaller than pea size now. My hubby has a torn muscle. Almost immediately after his shot he got a big knot. For 2 days his right leg hurt bad. Couldn't hardly walk.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Survey response — day 7, dose 3
MedDRA: Heart rate increased — Feeling: Good

Free text: I completely forgot about mentioning this. My heart rate is usually between 78-84. Now it's between 95-100. I did this with the other 2 vaccinations. It usually only lasted a couple days.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Exposure to communicable disease, Haemoptysis, Malaise, Medical counselling, Nasopharyngitis, Pneumonia, Pre-existing disease, Productive cough — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I took a injection that I was allergic to. I've been sick the past two weeks. I also got a bad cold from babysitting kids. Doctor tomorrow. I probably have pneumonia now. Spitting blood when I spit yuck out when I cough. · Healthcare visit (other): Going to urgent care tomorrow for pneumonia. Called doctor on injection.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-07-29
Dose 4 — Pfizer-BioNTech
2022-08-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2022-08-02
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: Not this time, but the other 3 times my heart rate got faster for a week. From 82 to 108 was the highest. I'm fine this time.

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-08-05
Survey response — day 7, dose 4
MedDRA: Fatigue, Vaccine positive rechallenge — Feeling: Good · Fatigue or tiredness

Free text: With all the other 3 shots, I was very tired for almost 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-09
Survey response — day 42, dose 4
MedDRA: Back pain, COVID-19, Diarrhoea, Fatigue, Headache, Malaise, Nasal congestion, Nausea — 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 · Outpatient clinic or urgent care clinic visit

Free text: I have Covid. I've had diarrhea, very nauseous, headache, completely clogged nose, & severe back pain. & very tired. I am so thankful for my 4 vaccinations. Yes, I've been sick. It hasn't been respiratory.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-07-29	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): The swelling on my arm is so small. Quarter size. It hurt last night. Even less today. My symptoms was all on the 30th. My vaccination was the 29th.

2021-10-02

Systemic reaction (other): The swelling where I got my injection is very tiny. Almost gone.

2021-10-03

Systemic reaction (other): The swelling on my injection site is very small. Smaller than yesterday. Close to being gone.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): My swelling is smaller than pea size now. My hubby has a torn muscle. Almost immediately after his shot he got a big knot. For 2 days his right leg hurt bad. Couldn't hardly walk.

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): I completely forgot about mentioning this. My heart rate is usually between 78-84. Now it's between 95-100. I did this with the other 2 vaccinations. It usually only lasted a couple days.

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: I took a injection that I was allergic to. I've been sick the past two weeks. I also got a bad cold from babysitting kids. Doctor tomorrow. I probably have pneumonia now. Spitting blood when I spit yuck out when I cough.

Healthcare visit (other): Going to urgent care tomorrow for pneumonia. Called doctor on injection.

Release 12 — days 1–6 daily, dose 4

2022-08-02

Systemic reaction (other): Not this time, but the other 3 times my heart rate got faster for a week. From 82 to 108 was the highest. I'm fine this time.

Release 12 — day 7, dose 4

2022-08-05

Systemic reaction (other): With all the other 3 shots, I was very tired for almost 2 weeks

Release 12 — day 42, dose 4

2022-09-09

Symptoms: I have Covid. I've had diarrhea, very nauseous, headache, completely clogged nose, & severe back pain. & very tired. I am so thankful for my 4 vaccinations. Yes, I've been sick. It hasn't been respiratory.

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	Pneumonia	·	·	✓
SD	Back pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemoptysis	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Pain	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Swelling	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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