6XU-23644-80022

3 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 392 / MS
Registered: 2020-12-22

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain

Free text: Runny nose

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

Adult check-in
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 28, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain, Tongue disorder — Feeling: Good

Free text: I have had some bumps or holes in my tongue I am not sure if its related but Ive had some weird things going onI guess I should also mention may be a sore or agitated throat for a couple hours it comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-07
Survey response — day 28, dose 3
MedDRA: Induration — Feeling: Good

Free text: Weird round hard areas in the arm I hit the vaccine in. They show up in different places.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-24
Survey response — day 42, dose 3
MedDRA: Axillary mass, Nodule — Feeling: Good

Free text: 2 notes on my left arm. 1 up under my arm pit and one right where my upper and lower arm connect on the underside of my elbow

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Survey response — 12 months, dose 3
MedDRA: Breast pain, Lymphadenopathy, Peripheral swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Random pains in my breast, enlarged nodes under my arm, enlarged area on the opposite side of my elbow · Healthcare visit (other): Scheduled my annual breast exam and had to have back up testing

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-09-09	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Dizziness

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Runny nose

Release 3 — day 28, dose 2

2021-02-04

Symptoms: Runny nose sneezing

Release 4 — day 35, dose 2

2021-02-11

Symptoms: I have had some bumps or holes in my tongue I am not sure if its related but Ive had some weird things going onI guess I should also mention may be a sore or agitated throat for a couple hours it comes and goes

Release 9 — day 14, dose 3

2021-09-28

Symptoms: Headaches

Release 10 — day 28, dose 3

2021-10-07

Symptoms: Weird round hard areas in the arm I hit the vaccine in. They show up in different places.

Release 10 — day 42, dose 3

2021-10-24

Symptoms: 2 notes on my left arm. 1 up under my arm pit and one right where my upper and lower arm connect on the underside of my elbow

Release 12 — 12 months, dose 3

2022-09-09

Symptoms: Random pains in my breast, enlarged nodes under my arm, enlarged area on the opposite side of my elbow

Healthcare visit (other): Scheduled my annual breast exam and had to have back up testing

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	Unevaluable event	·	·	✓
SD	Axillary mass	·	·	✓
SD	Breast pain	·	·	✓
SD	Headache	·	·	✓
SD	Induration	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nodule	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Tongue disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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