68Q-29433-94180

4 vaccinations 9 coded responses 37 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 622 / IL
Registered: 2021-03-02

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Respiratory tract congestion — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Congestion · Healthcare visit (other): Called my physician and spoke with his nurse, he called in a inhaler and antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pulmonary congestion, Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest and lung congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Dyspnoea, Office visit, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion is getting worse. Lungs feel tight and sticky. It's hard to breathe. My doctor ordered a home nebulizer for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — day 7, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I have Rheumatoid Arthritis thats why I have joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
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
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, sneezing, achy, sore throat, slight fever,

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Call 1 — Could Not Reach Participant
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Call 2 — Could Not Reach Participant
2022-05-16
Dose 4 — Pfizer-BioNTech
2022-05-16
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-29
Survey response — day 42, dose 4
MedDRA: Fall, Ligament sprain, Patella fracture, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I have a severe sinus infection and I fell and fractured my left knee cap and sprained my right knee.

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-06-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-19
Survey response — 12 months, dose 4
MedDRA: Myalgia, Sneezing — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-05-16	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Chest congestion

2021-03-31

Systemic reaction (other): Congestion

Healthcare visit (other): Called my physician and spoke with his nurse, he called in a inhaler and antibiotics

2021-04-01

Systemic reaction (other): Chest and lung congestion

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Congestion

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Congestion is getting worse. Lungs feel tight and sticky. It's hard to breathe. My doctor ordered a home nebulizer for me.

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): I have Rheumatoid Arthritis thats why I have joint pain

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Runny nose, sneezing, achy, sore throat, slight fever,

Release 12 — day 42, dose 4

2022-06-29

Symptoms: I have a severe sinus infection and I fell and fractured my left knee cap and sprained my right knee.

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	Medical counselling	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fall	·	·	✓
SD	Ligament sprain	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Patella fracture	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pulmonary congestion	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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