5SR-12147-68101

3 vaccinations 11 coded responses 34 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 300 / GA
Registered: 2021-04-21

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

2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort — Feeling: Good

Free text: Last night I had some discomfort in my left leg but Ive experienced that before so Im sure its probably not related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Survey response — day 0, dose 2
MedDRA: Somnolence — Feeling: Fair · Fatigue or tiredness

Free text: Extremely sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Chills, Headache, Lymphadenopathy, Pain, Pyrexia, Vaccination site pruritus, Vaccination site swelling — Feeling: Good · 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: Headache, fever, chills, body ache, swollen and itching vaccination site, swollen lymph node under armpit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Chills, Headache, Lymphadenopathy, Pyrexia — Feeling: Good · 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: July 29-30 Chills, headache, fever, discomfort in chest, and swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — 6 months, dose 2
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)
2021-11-10
Call 1 — Left Voicemail
2021-12-22
Dose 3 — Moderna
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness

Free text: Swollen lymph node underarm

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Headache

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Lymph node not as swollen today

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Underarm lymph node swollen

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still mildly swollen underarm lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 21, dose 3
MedDRA: Back pain, Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low back pain started last Thursday, then also Headache, congestion, runny nose on Friday, Saturday and Sunday

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-23
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in throat

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-12-22	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Last night I had some discomfort in my left leg but Ive experienced that before so Im sure its probably not related.

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): Extremely sleepy

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: Headache, fever, chills, body ache, swollen and itching vaccination site, swollen lymph node under armpit

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: July 29-30 Chills, headache, fever, discomfort in chest, and swollen lymph node

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Swollen lymph node underarm

2021-12-25

Systemic reaction (other): Sore throat

2021-12-26

Systemic reaction (other): Lymph node not as swollen today

2021-12-28

Systemic reaction (other): Underarm lymph node swollen

Release 10 — day 7, dose 3

2021-12-29

Systemic reaction (other): Still mildly swollen underarm lymph node

Release 10 — day 21, dose 3

2022-01-12

Symptoms: Low back pain started last Thursday, then also Headache, congestion, runny nose on Friday, Saturday and Sunday

Release 11 — 3 months, dose 3

2022-03-23

Symptoms: Pain in throat

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
SD	Back pain	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chills	✓	·	✓
SD	Headache	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vaccination site pruritus	✓	·	✓
SD	Vaccination site swelling	✓	·	✓
SRO	Discomfort	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Somnolence	✓	✓	✓

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