FME-30599-75773

4 vaccinations 6 coded responses 35 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 770 / TX
Registered: 2020-12-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

WD5-11972-42389 Child or adolescent in my care · Male · 2022-06-24

Timeline

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Vomiting, Abdominal pain

Adult check-in
2021-01-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-17
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary mass, Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swelling of a lump underarm and numb big toe

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-09
Survey response — day 14, dose 3
MedDRA: Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Itch

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — day 21, dose 3
MedDRA: Contusion, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bruises and pain on left arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-27
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend school

Free text: Pregnancy/miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Dose 4 — Pfizer-BioNTech
2022-06-25
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches

Adult check-in
2022-06-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-02
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-07-09
Survey response — day 14, dose 4
MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint pain. Stiffness all over.

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-26
Survey response — 3 months, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: left leg falls asleep randomly.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-06-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-20	priority 2/3

Free text

Release 9 — days 1–6 daily, dose 3

2021-09-28

Systemic reaction (other): Swelling of a lump underarm and numb big toe

Release 10 — day 14, dose 3

2021-10-09

Symptoms: Itch

Release 10 — day 21, dose 3

2021-10-16

Symptoms: Bruises and pain on left arm

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Pregnancy/miscarriage

Release 12 — day 14, dose 4

2022-07-09

Symptoms: Joint pain. Stiffness all over.

Release 12 — 3 months, dose 4

2022-09-26

Symptoms: left leg falls asleep randomly.

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
SD	Abortion spontaneous	·	·	✓
SD	Arthralgia	·	·	✓
SD	Contusion	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus	·	·	✓
SRO	Axillary mass	·	·	✓
SRO	Hypoaesthesia	·	·	✓

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