6X6-30795-62610

4 vaccinations 10 coded responses 32 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 704 / LA
Registered: 2020-12-29

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

WPB-30238-60392 Child or adolescent in my care · Female · 2021-12-28

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain

Free text: I have pulled a muscle in my back, 2 days before I received the vaccine. That is the only thing bothering me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-09
Survey response — day 21, dose 2
MedDRA: Carpal tunnel syndrome — Feeling: Fair · Be unable to work

Free text: Carpal tunnel pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chest pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain fir one dayWrist and hand pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Nausea, Vomiting — 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, Emergency room or emergency department visit

Free text: Vomiting and diarrhea, nausea

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
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)
2021-07-27
Call 3 — Left Voicemail
2021-10-26
Dose 3 — Pfizer-BioNTech
2022-01-19
Survey response — 12 months, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough, slight congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-20
Call 1 — Left Voicemail
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Emergency care, Fall, Hand fracture, Oropharyngeal pain, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Broken finger after a fall. I also had a severe sore throat and sinus infection about 3 weeks ago. Lasted about 5 days. Took antibiotics and was good. · Healthcare visit (other): The ER visit was for the fall

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-04-28
Call 1 — Left Voicemail
2022-06-01
Dose 4 — Pfizer-BioNTech
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-16
Survey response — day 14, dose 4
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain in right shoulder

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-17
Call 1 — Left Voicemail
2022-06-17
Call 2 — Left Voicemail
2022-06-17
Call 2 — Left Voicemail
2022-06-17
Call 1 — Left Voicemail
2022-06-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Survey response — day 35, dose 4
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny nose, post nasal drip, sore throat, cough

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — day 42, dose 4
MedDRA: COVID-19, Cough, Oropharyngeal pain, Upper-airway cough syndrome — 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

Free text: I got Covid and my symptoms are severe sore throat, cough, post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call 3 — Left Voicemail
2022-07-14
Call 2 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2022-08-31
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had Covid in early July

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-02
Call X — Left Voicemail
2022-09-02
Call X — Left Voicemail
2022-09-02
Call X — Left Voicemail
2022-09-02
Call 3 — Left Voicemail
2022-09-02
Call 2 — Left Voicemail
2022-09-02
Call 1 — Left Voicemail
2022-09-02
Call successful
Not applicable - Accidental Reporting
2022-09-02
Call successful
Not applicable - Accidental Reporting
2022-09-02
Call successful
Not applicable - Accidental Reporting
2022-09-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-06-01	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): I have pulled a muscle in my back, 2 days before I received the vaccine. That is the only thing bothering me.

Release 3 — day 21, dose 2

2021-02-09

Symptoms: Carpal tunnel pain

Release 4 — day 35, dose 2

2021-02-23

Symptoms: Chest pain fir one dayWrist and hand pain

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: Vomiting and diarrhea, nausea

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: Cough, slight congestion

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Broken finger after a fall. I also had a severe sore throat and sinus infection about 3 weeks ago. Lasted about 5 days. Took antibiotics and was good.

Healthcare visit (other): The ER visit was for the fall

Release 12 — day 14, dose 4

2022-06-16

Symptoms: Joint pain in right shoulder

Release 12 — day 35, dose 4

2022-07-08

Symptoms: Runny nose, post nasal drip, sore throat, cough

Release 12 — day 42, dose 4

2022-07-13

Symptoms: I got Covid and my symptoms are severe sore throat, cough, post nasal drip

Release 12 — 3 months, dose 4

2022-08-31

Symptoms: I had Covid in early July

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	Emergency care	·	·	✓
HCVO	Fall	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Carpal tunnel syndrome	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fall	·	·	✓
SD	Hand fracture	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Vomiting	·	·	✓
SRO	No adverse event	✓	✓	✓

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