5N8-89376-39893

4 vaccinations 10 coded responses 22 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 630 / MO
Registered: 2021-03-23

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Low grade temp 99.1-99.5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 21, dose 1
MedDRA: Atypical pneumonia, Office visit — Feeling: Fair · Be unable to work, 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: Atypical pneumonia · Healthcare visit (other): Primary physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain — Feeling: Good

Free text: Body aches and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Chest pain, Fatigue, Hospitalisation — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Extreme pain in my chest and upper abdomen. Spent night in hospital, no heart problem but there may be an issue with my GI tract. Ultra sound scheduled tomorrow. Also extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-19
Survey response — day 14, dose 3
MedDRA: Fatigue, Pain, Paranasal sinus discomfort, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches, fatigue, increased mucus and sinus pressure.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Survey response — day 28, dose 3
MedDRA: Unevaluable event — Feeling: Fair

Free text: Extreme mucus

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Call 2 — Could Not Reach Participant
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Blood pressure increased, Breast calcifications, Bronchitis, Laryngitis, Mammogram abnormal, Respiratory disorder, Rhinitis — Feeling: Good · Be unable to work or attend school

Free text: Not sure if there's any connection but my mammogram was abnormal. Byopsy benign Calcification's. Developed severe rhinitis. I've had in increase in respiratory issues, bronchitis, rhinitis, laryngitis. Elevated blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Call 1 — Could Not Reach Participant
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Survey response — day 21, dose 4
MedDRA: Blood pressure increased — Feeling: Poor · Be unable to work or attend school

Free text: Excessive HBP 160/101

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 28, dose 4
MedDRA: Injection site pain — Feeling: Fair

Free text: Extreme pain in arm at injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — 6 months, dose 4
MedDRA: Adverse reaction, Arthralgia, Cough, Secretion discharge — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in my right shoulder from the second booster shot in April. Has never gone away. Increase in allergy like symptoms, cough, mucus.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	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 6 — day 14, dose 1

2021-04-05

Symptoms: Low grade temp 99.1-99.5

Release 7 — day 21, dose 1

2021-04-12

Symptoms: Atypical pneumonia

Healthcare visit (other): Primary physician

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Body aches and fatigue

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Extreme pain in my chest and upper abdomen. Spent night in hospital, no heart problem but there may be an issue with my GI tract. Ultra sound scheduled tomorrow. Also extreme fatigue

Release 10 — day 14, dose 3

2021-10-19

Symptoms: Body aches, fatigue, increased mucus and sinus pressure.

Release 10 — day 28, dose 3

2021-11-01

Symptoms: Extreme mucus

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Not sure if there's any connection but my mammogram was abnormal. Byopsy benign Calcification's. Developed severe rhinitis. I've had in increase in respiratory issues, bronchitis, rhinitis, laryngitis. Elevated blood pressure.

Release 11 — day 21, dose 4

2022-05-09

Symptoms: Excessive HBP 160/101

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Extreme pain in arm at injection site.

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Pain in my right shoulder from the second booster shot in April. Has never gone away. Increase in allergy like symptoms, cough, mucus.

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	Abdominal pain upper	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Atypical pneumonia	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Breast calcifications	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Laryngitis	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Rhinitis	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Unevaluable event	✓	✓	✓

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