5Q4-28513-48298

3 vaccinations 10 coded responses 32 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 236 / VA
Registered: 2021-04-10

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

2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

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

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Cystitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bladder infection · Healthcare visit (other): Primary doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Nausea, Diarrhea

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Survey response — day 21, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Itchy rash on hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Mobility decreased, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscles in left arm are sore and weak. It is hard to lift anything. Even my glass of tea is hard to lift. I have never experienced this before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 42, dose 2
MedDRA: Muscular weakness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left arm has weakness and muscles ache some.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chronic kidney disease has worsened slightly

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-02
Call 1 — Could Not Reach Participant
2021-11-02
Call 1 — Could Not Reach Participant
2021-11-05
Call 2 — Could Not Reach Participant
2021-11-05
Call 2 — Could Not Reach Participant
2021-11-08
Dose 3 — Pfizer-BioNTech
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I am taking an antibiotic for a bladder infection that I had before and getting the 3rd dose vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Survey response — day 7, dose 3
MedDRA: Nausea — Feeling: Fair

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Survey response — day 35, dose 3
MedDRA: Cardiac failure chronic, Dyspnoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic heart failure has worsened Shortness of breath due to this No coughing

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Office visit, Pre-existing disease, Renal impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Kidney function has worsened · Healthcare visit (other): Doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-08
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have had a Covid-19 infection.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-11-08	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 7 — day 14, dose 1

2021-04-22

Symptoms: Bladder infection

Healthcare visit (other): Primary doctor visit

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Itchy rash on hands.

Release 8 — day 35, dose 2

2021-06-03

Symptoms: Muscles in left arm are sore and weak. It is hard to lift anything. Even my glass of tea is hard to lift. I have never experienced this before.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Left arm has weakness and muscles ache some.

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Chronic kidney disease has worsened slightly

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): I am taking an antibiotic for a bladder infection that I had before and getting the 3rd dose vaccine.

Release 10 — day 7, dose 3

2021-11-17

Systemic reaction (other): Nausea

Release 10 — day 35, dose 3

2021-12-13

Symptoms: Chronic heart failure has worsened Shortness of breath due to this No coughing

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Kidney function has worsened

Healthcare visit (other): Doctor office visit

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: I have had a Covid-19 infection.

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	Cardiac failure chronic	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Cystitis	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Renal impairment	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pre-existing disease	·	·	✓

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