6X4-27003-37183

2 vaccinations 15 coded responses 23 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 334 / FL
Registered: 2021-01-13

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

2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Mobility decreased — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cannot lift my left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Joint range of motion decreased — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Injection arm pain, loss of range of motion for approx 18 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen glands/no sore throat today..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swolen glands, sore throat is gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 14, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Recurrent sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches

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

Free text: Deep cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Deep cough,swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Chest discomfort, Cough, Lymphadenopathy, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Swollen glands in throat · Healthcare visit (other): Cough, chest tightness, Asthma exacerbated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild congestion/cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Office visit, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blurry vision. Checked by Ophthalmologist. No problem. · Healthcare visit (other): Ophthalmologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Depression — Feeling: Good

Free text: Depression. Taking Celexa 10mgs, qHS

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Cholecystectomy, Gallbladder disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Gallbladder disease · Healthcare visit (other): Gallbladder removed 2/4/22

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech

Call center

4 call center cases

3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Cannot lift my left arm

2021-01-14

Systemic reaction (other): Injection arm pain, loss of range of motion for approx 18 hrs.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Swollen glands/no sore throat today..

2021-01-18

Systemic reaction (other): Mild sore throat

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Swolen glands, sore throat is gone

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Recurrent sore throat

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Deep cough

2021-02-05

Systemic reaction (other): Deep cough,swollen glands

2021-02-06

Systemic reaction (other): Swollen glands in throat

Healthcare visit (other): Cough, chest tightness, Asthma exacerbated

2021-02-08

Systemic reaction (other): Mild congestion/cough

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): Mild cough

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Extreme fatigue

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Blurry vision. Checked by Ophthalmologist. No problem.

Healthcare visit (other): Ophthalmologist

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Depression. Taking Celexa 10mgs, qHS

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Gallbladder disease

Healthcare visit (other): Gallbladder removed 2/4/22

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	Asthma	✓	✓	✓
HCVO	Asthma prophylaxis	○	○	○
HCVO	Chest discomfort	✓	✓	✓
HCVO	Cholecystectomy	·	·	✓
HCVO	Cough	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Depression	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gallbladder disorder	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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