5V7-11135-17509

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 313 / GA
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Pfizer-BioNTech
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Pfizer-BioNTech
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · Headache

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Swelling in armpit of injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Redness, Swelling

Free text: Still swollen in armpit area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Still slight swelling in armpit, but better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 42, dose 2
MedDRA: Accident, Multiple fractures, Road traffic accident, Surgery — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Tuesday 3/9 I was in a bicycle accident, breaking many bones requiring two surgeries so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 42, dose 2
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)
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Hospitalisation, Thrombosis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Had serious bicycle accident, 13 days in hospital, 2 surgeries..two lung blood clots were also found during hospital stay

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — 3 months, dose 2
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)
2021-06-10
Call 1 — Left Voicemail
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Nasal operation, Nasal septal operation, Nasal valve collapse — Feeling: Good · 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: Had nose surgery to open deviated side and repair collapsed nostril

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-01	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Swelling in armpit of injection side

2021-02-04

Systemic reaction (other): Still swollen in armpit area

2021-02-05

Systemic reaction (other): Still slight swelling in armpit, but better

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Tuesday 3/9 I was in a bicycle accident, breaking many bones requiring two surgeries so far.

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Had serious bicycle accident, 13 days in hospital, 2 surgeries..two lung blood clots were also found during hospital stay

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Mild sore throat

Release 9 — day 7, dose 3

2021-10-01

Systemic reaction (other): Mild sore throat

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: Had nose surgery to open deviated side and repair collapsed nostril

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	Accident	○	✓	○
SD	Hospitalisation	✓	✓	✓
SD	Multiple fractures	✓	✓	✓
SD	Nasal operation	·	·	✓
SD	Nasal septal operation	·	·	✓
SD	Nasal valve collapse	·	·	✓
SD	Road traffic accident	✓	·	✓
SD	Surgery	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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