6SL-19436-18017

4 vaccinations 10 coded responses 34 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 762 / TX
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Pain — Feeling: Fair

Free text: The shoulder joint in my right arm, (the arm I received the vaccine in), hurts when I lift my arm or rotate it in any way.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Headache — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The headache was in the frontal part of my head, behind my eyeballs. It made my eyeballs hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: A rash on the lower right shoulder close to where the shot was given. Started with the first shot.

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I've had Delta Variant twice

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Dose 3 — Pfizer-BioNTech
2021-12-01
Call 3 — Could Not Reach Participant
2021-12-06
Call X — Could Not Reach Participant
2022-02-26
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: I had COVID again

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 21, dose 4
MedDRA: Blood pressure decreased, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sick at my stomach. Aches. Blood pressure dropping when up and walking around.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Survey response — day 42, dose 4
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have a very bad cold

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-26
Survey response — 6 months, dose 4
MedDRA: Cardiac disorder, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Having problems with my heart · Healthcare visit (other): Cardiologist also

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-27
Call 2 — Left Voicemail
2022-10-27
Call 2 — Left Voicemail
2023-04-27
Survey response — 12 months, dose 4
MedDRA: Cardioversion, Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-27
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-28
Call 1 — Left Voicemail
2023-04-28
Call 1 — Left Voicemail
2023-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-04-27	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-18

Symptoms: The shoulder joint in my right arm, (the arm I received the vaccine in), hurts when I lift my arm or rotate it in any way.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): The headache was in the frontal part of my head, behind my eyeballs. It made my eyeballs hurt.

2021-03-02

Systemic reaction (other): A rash on the lower right shoulder close to where the shot was given. Started with the first shot.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: I've had Delta Variant twice

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: I had COVID again

Release 11 — 6 months, dose 3

2022-04-08

Symptoms: Covid

Release 11 — day 21, dose 4

2022-05-18

Symptoms: Sick at my stomach. Aches. Blood pressure dropping when up and walking around.

Release 11 — day 42, dose 4

2022-06-08

Symptoms: Have a very bad cold

Release 12 — 6 months, dose 4

2022-10-26

Symptoms: Having problems with my heart

Healthcare visit (other): Cardiologist also

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	Office visit	·	·	✓
SD	Blood pressure decreased	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Cardioversion	·	·	✓
SD	COVID-19	✓	·	✓
SD	Heart rate increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Rash	✓	✓	✓

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