5S8-13781-44659

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 641 / MO
Registered: 2021-03-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-29
Survey response — day 0, dose 1
MedDRA: Flushing — Feeling: Good · Fatigue or tiredness

Free text: Face a little bit flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing — Feeling: Good

Free text: Cheeks flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dermatitis allergic, Papule — Feeling: Good

Free text: Allergic papeles in right hand. Source?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 1
MedDRA: Hypersensitivity, Papule — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Allergic papules on right hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Fair · Fever

Free text: Flushed face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing, Rash — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash is flushed face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 21, dose 2
MedDRA: Cough, Flushing — Feeling: Good

Free text: Allergic respiratory response to a (presumable) cleaning agent at the dentist. Left, deep coughing, flushed face, response in brachia, etc. Took prednisone etc following predetermined medical plan.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Back pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Back pain originating around the T9 vertebra. Sharp back pains. Unrelated to vaccine. · Healthcare visit (other): Doctors appointment in clinic

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): Face a little bit flushed

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Cheeks flushed

2021-04-04

Systemic reaction (other): Allergic papeles in right hand. Source?

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): Allergic papules on right hand

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Flushed face

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Rash is flushed face

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Allergic respiratory response to a (presumable) cleaning agent at the dentist. Left, deep coughing, flushed face, response in brachia, etc. Took prednisone etc following predetermined medical plan.

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Back pain originating around the T9 vertebra. Sharp back pains. Unrelated to vaccine.

Healthcare visit (other): Doctors appointment in clinic

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	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Flushing	✓	✓	✓
SRO	Dermatitis allergic	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Papule	✓	✓	✓
SRO	Rash	✓	✓	✓

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