68V-15877-92613

3 vaccinations 7 coded responses 35 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 782 / TX
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Asthma - short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Out of breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Emergency care, Medical counselling — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My pulse and blood pressure are always very low . My pulse is going to 148 or 150 and blood pressure 134/84 . I did not have blood pressure problems with shot one or two . Shortness of breath and may go to an emergency room . Last two shots felt ever · Healthcare visit (other): My daughter is an ICU nurse and evaluated Mrs when may be going to the ER

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter, Heart rate decreased, Heart rate increased, Hypertension, Self-medication — Feeling: Fair · Site: Pain · Joint pains · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart rate lower , I treated it with 2 Benadryl ever 4 hours elevation , monitoring , water and a glass of wine and rest blood pressure and pulse lowering to an above average high but nearing normal range , heart no longer fluttering

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Blood pressure increased, Fatigue, Heart rate increased — Feeling: Good

Free text: Heart rate and blood pressure slightly elevated but doing much better so far , a little exhausted but ok

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Fatigue, Nasopharyngitis — Feeling: Good · Chills, Fatigue or tiredness

Free text: Chills , cold very tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-07
Call 1 — Left Voicemail
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid a 3rd time and the most brutal

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Asthma - short of breath

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Out of breathe

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): My pulse and blood pressure are always very low . My pulse is going to 148 or 150 and blood pressure 134/84 . I did not have blood pressure problems with shot one or two . Shortness of breath and may go to an emergency room . Last two shots felt ever cut off by CDC

Healthcare visit (other): My daughter is an ICU nurse and evaluated Mrs when may be going to the ER

2021-10-03

Systemic reaction (other): Heart rate lower , I treated it with 2 Benadryl ever 4 hours elevation , monitoring , water and a glass of wine and rest blood pressure and pulse lowering to an above average high but nearing normal range , heart no longer fluttering

2021-10-04

Systemic reaction (other): Heart rate and blood pressure slightly elevated but doing much better so far , a little exhausted but ok

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Chills , cold very tired

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Covid a 3rd time and the most brutal

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	COVID-19	·	·	✓
SRO	Blood pressure increased	·	·	✓
SRO	Cardiac flutter	·	·	✓
SRO	Chills	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Heart rate decreased	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	·	·	✓

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