6CZ-52920-91714

4 vaccinations 20 coded responses 29 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 443 / OH
Registered: 2021-08-11

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

2021-08-10
Dose 1 — Pfizer-BioNTech
2021-08-11
Registered in v-safe
2021-08-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Free text: My normal temp is 97.1 I'm itchy but no rash. You don't have enough room.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness, Throat tightness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: My jaws have been tight since Tuesday evening as well as a tightness in my neck and throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — days 1–6 daily, dose 1
MedDRA: Jaw disorder, Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Jaws and neck are better.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-16
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Injection site pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: My arm hurts below the shot area. I've been very warm the last few days but no fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Survey response — day 7, dose 1
MedDRA: Neck pain, Pain in jaw — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: The pain in my jaw and neck is slowly improving.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — day 14, dose 1
MedDRA: Asthma, Blood pressure increased, Chest discomfort, Headache, Hypotension, Loss of consciousness, Malaise, Medical counselling, Nausea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I feel like crap . Headache. Nausea extremely loe bp then sky high 88/62 to 137/110.. asthma flare. My chest is tight. Then everything goes back to except asthma. · Healthcare visit (other): Called dr then passed out for 2 hrs.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-09-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-03
Dose 2 — Pfizer-BioNTech
2021-09-06
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Head discomfort, Headache, Myalgia, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Again I have pain in my neck muscles on the side of the shot. A slight sore throat and a massive headache. At times it feels as if my head and brain is swollen with a great deal of pressure. It comes and goes. Also I'm having balance problems.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Induration, Lymphadenopathy, Myalgia, Oropharyngeal pain, Sensory disturbance — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My head feels like my brain and head swells while hurting intentionally. My throat is sore, my neck muscles are sore my lymph nodes in my throat feellike hard boiled eggs.

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Neck pain, Pre-existing disease, Tremor, Visual impairment — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My normal temp is 97.1. My neck hurts and I'm having chest pains and tremors. · Healthcare visit (other): Dr office is closed. My vision is getting worse.

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
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)
2021-09-10
Survey response — day 7, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness and off balance for last 5 days

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Call 1 — Left Voicemail
2021-09-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — day 28, dose 2
MedDRA: Office visit, Pre-existing disease, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a uti for the first time in 14 yrs · Healthcare visit (other): Pcp

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-10-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-01-05
Dose 3 — Pfizer-BioNTech
2022-04-07
Survey response — 3 months, dose 3
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have MG . Going for bloodwork as to what kind · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-12-30
Dose 4 — Pfizer-BioNTech
2023-01-05
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain, Disturbance in attention, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-05
Survey response — 12 months, dose 3
MedDRA: Chest pain, Decreased appetite, Dizziness, Dyspnoea, Migraine, Nausea, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-06
Survey response — day 7, dose 4
MedDRA: Confusional state — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-13
Survey response — day 14, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-20
Survey response — day 21, dose 4
MedDRA: Fatigue, Migraine — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-27
Survey response — day 28, dose 4
MedDRA: Chest pain, Migraine, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Callback requested for
04:00PM ET
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-06
Survey response — day 35, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-10
Survey response — day 42, dose 4
MedDRA: Decreased appetite, Headache, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	Pfizer-BioNTech	No
2	2021-09-03	Pfizer-BioNTech	No
3	2022-01-05	Pfizer-BioNTech	No
4	2022-12-30	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-11

Systemic reaction (other): My normal temp is 97.1 I'm itchy but no rash. You don't have enough room.

2021-08-12

Systemic reaction (other): My jaws have been tight since Tuesday evening as well as a tightness in my neck and throat

2021-08-13

Systemic reaction (other): Jaws and neck are better.

2021-08-16

Systemic reaction (other): My arm hurts below the shot area. I've been very warm the last few days but no fever.

Release 9 — day 7, dose 1

2021-08-17

Systemic reaction (other): The pain in my jaw and neck is slowly improving.

Release 9 — day 14, dose 1

2021-08-24

Symptoms: I feel like crap . Headache. Nausea extremely loe bp then sky high 88/62 to 137/110.. asthma flare. My chest is tight. Then everything goes back to except asthma.

Healthcare visit (other): Called dr then passed out for 2 hrs.

Release 9 — days 1–6 daily, dose 2

2021-09-06

Systemic reaction (other): Again I have pain in my neck muscles on the side of the shot. A slight sore throat and a massive headache. At times it feels as if my head and brain is swollen with a great deal of pressure. It comes and goes. Also I'm having balance problems.

2021-09-07

Systemic reaction (other): My head feels like my brain and head swells while hurting intentionally. My throat is sore, my neck muscles are sore my lymph nodes in my throat feellike hard boiled eggs.

2021-09-08

Systemic reaction (other): My normal temp is 97.1. My neck hurts and I'm having chest pains and tremors.

Healthcare visit (other): Dr office is closed. My vision is getting worse.

Release 9 — day 7, dose 2

2021-09-10

Systemic reaction (other): Dizziness and off balance for last 5 days

Release 9 — day 28, dose 2

2021-10-01

Symptoms: I have a uti for the first time in 14 yrs

Healthcare visit (other): Pcp

Release 11 — 3 months, dose 3

2022-04-07

Symptoms: I have MG . Going for bloodwork as to what kind

Healthcare visit (other): PCP

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	Loss of consciousness	✓	·	✓
HCVO	Medical counselling	✓	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	Visual impairment	·	·	✓
SD	Asthma	✓	·	✓
SD	Blood pressure increased	✓	·	✓
SD	Chest discomfort	✓	·	✓
SD	Chest pain	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypotension	✓	·	✓
SD	Insomnia	·	·	✓
SD	Malaise	✓	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Balance disorder	✓	·	✓
SRO	Chest pain	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Feeling hot	✓	·	✓
SRO	Head discomfort	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Induration	·	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Jaw disorder	✓	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle tightness	✓	·	✓
SRO	Myalgia	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓
SRO	Pain in jaw	✓	·	✓
SRO	Pruritus	✓	·	✓
SRO	Sensory disturbance	·	·	✓
SRO	Throat tightness	✓	·	✓
SRO	Tremor	·	·	✓
SRO	Unevaluable event	✓	·	✓

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