6QM-94878-20785

4 vaccinations 10 coded responses 40 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Injection site pain, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Mild pain in arm by injection site shoulder, neck and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Musculoskeletal pain, Neck mass, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Mild pain by the injection area, shoulder to neck area and close to arm pit. Feel a small bump by collar bone. Also feels parodic pain in leg and pain in buttock when getting up and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal pain, Swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Swelling has decreased. Having pain in buttock only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Limph nods swollen

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-13
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: After 3 weeks, The area surrounding the shoulder still hurts

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 28, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: The soreness in the shoulder area still persist

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — day 35, dose 3
MedDRA: Chills, Headache, Nasal congestion, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills, stuffy nose, headache, body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in neck

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — day 14, dose 4
MedDRA: Pain in extremity — Feeling: Good

Free text: My left arm is still sore

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-05
Survey response — 12 months, dose 4
MedDRA: COVID-19 — 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

MedDRA releases: 2024-11
2023-04-05
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-09-22	Pfizer-BioNTech	No
4	2022-04-05	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Mild pain in arm by injection site shoulder, neck and back

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Mild pain by the injection area, shoulder to neck area and close to arm pit. Feel a small bump by collar bone. Also feels parodic pain in leg and pain in buttock when getting up and walking.

2021-01-29

Systemic reaction (other): Swelling has decreased. Having pain in buttock only

Release 9 — day 7, dose 3

2021-09-29

Systemic reaction (other): Limph nods swollen

Release 10 — day 21, dose 3

2021-10-13

Symptoms: After 3 weeks, The area surrounding the shoulder still hurts

Release 10 — day 28, dose 3

2021-10-20

Symptoms: The soreness in the shoulder area still persist

Release 10 — day 35, dose 3

2021-10-27

Symptoms: Chills, stuffy nose, headache, body aches

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Swollen lymph nodes in neck

Release 11 — day 14, dose 4

2022-04-19

Symptoms: My left arm is still sore

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Swelling	✓	✓	✓

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