F4Z-29077-74074

4 vaccinations 15 coded responses 35 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 853 / AZ
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymph node pain, Tenderness — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: Tenderness and pain in underarm injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in armpit on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain in underarm on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Still have pain in the underarm area on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 7, dose 1
MedDRA: Tenderness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tenderness in underarm on side of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Nausea — Feeling: Fair · Be unable to work

Free text: Stomach upset, nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to work or attend school, 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: Severe stomach pain, difficulty going to bathroom. Waiting for colonoscopy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-19
Call 3 — Left Voicemail
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Brain fog, Gastrointestinal disorder — 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: Brain fog, stomach issues

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-04-11
Call 2 — Left Voicemail
2022-10-28
Dose 4 — Moderna
Co-administered: Flu
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-04
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Survey response — day 21, dose 4
MedDRA: Cough, Pre-existing disease — Feeling: Fair

Free text: Have a persistent cough, but I have asthma so it could be completely unrelated and due to changing weather

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Survey response — day 28, dose 4
MedDRA: Dyspnoea, Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, tire easy, difficulty sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-06
Call X — Left Voicemail
2022-12-06
Call X — Left Voicemail
2022-12-06
Call 3 — Left Voicemail
2022-12-09
Survey response — day 42, dose 4
MedDRA: Dyspnoea, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: Hard time breathing low oxygen level, but the weather is changing and I have asthma

MedDRA releases: 2024-11 · check-in free text available
2023-01-27
Survey response — 3 months, dose 4
MedDRA: Anxiety, Hypertension — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-27
Report sent to call center — 3 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

Emergency room or emergency department visit · 1 call case(s)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-04-30
Survey response — 6 months, dose 4
MedDRA: Anxiety, Depression, Hypertension, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-30
Report sent to call center — 6 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

Emergency room or emergency department visit · 1 call case(s)
2023-05-01
Call 2 — Left Voicemail
2023-05-01
Call 3 — Left Voicemail
2023-05-01
Call 2 — Left Voicemail
2023-05-01
Call 2 — Left Voicemail
2023-05-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No
4	2022-10-28	Moderna	Flu

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Tenderness and pain in underarm injection side

2021-03-21

Systemic reaction (other): Pain in armpit on side of injection

2021-03-22

Systemic reaction (other): Pain in underarm on side of injection

2021-03-23

Systemic reaction (other): Still have pain in the underarm area on side of injection

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Tenderness in underarm on side of shot

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Coughing

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Stomach upset, nauseous

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Severe stomach pain, difficulty going to bathroom. Waiting for colonoscopy

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Brain fog, stomach issues

Release 12 — day 21, dose 4

2022-11-18

Symptoms: Have a persistent cough, but I have asthma so it could be completely unrelated and due to changing weather

Release 12 — day 28, dose 4

2022-11-25

Symptoms: Shortness of breath, tire easy, difficulty sleeping

Release 12 — day 35, dose 4

2022-12-02

Symptoms: Fatigue cough

Release 12 — day 42, dose 4

2022-12-09

Symptoms: Hard time breathing low oxygen level, but the weather is changing and I have asthma

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypertension	·	·	✓
SD	Insomnia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	✓	✓	○
SRO	Tenderness	✓	✓	✓

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