FSP-11143-23956

4 vaccinations 10 coded responses 41 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 381 / TN
Registered: 2021-03-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

8NW-30814-04695 Child or adolescent in my care · Male · 2022-07-13

Timeline

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good · Site: Itching · Headache

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Arthralgia, Axillary pain, Oedema peripheral, Tenderness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My left shoulder and arm pit hurts very bad and is swollen and tender to touch it didnt start til a couple of days after I received my 1st vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Hyperhidrosis, Loss of consciousness, Seizure, Tremor — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: I was shaking and having cold and hot sweats I passed out I could not stand and felt like a seizure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, 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: DizZy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
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)
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to work or attend school

Free text: Unexplainable migraines that never happen til I got the 2nd Phizer shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Dose 3 — Pfizer-BioNTech
2021-10-19
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-10-21
Report sent to call center — days 1–6 daily, dose 3
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)
2021-10-22
Call 2 — Left Voicemail
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth — Feeling: Good · Site: Itching · Headache, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Dry mouth never had it until I received the 3rd vaccination

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-11-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 35, dose 3
MedDRA: Asthenia, Body temperature increased, Chest pain, Dyspnoea, Migraine, Muscular weakness, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Weak shortness of breath chest pains fever over 100 weak muscles sore throat migraines

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-01-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-19
Survey response — 6 months, dose 3
MedDRA: Breast pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in left breast

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-08-03
Dose 4 — Pfizer-BioNTech
2022-08-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-08-06
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary mass, Axillary pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: A swollen knot under my armpit appeared 2 days after I received the Pfizer vaccine booster#2 it is very swollen and hurts.in my left arm where I received the vaccine shot

MedDRA releases: 2024-11 · check-in free text available
2022-08-06
Report sent to call center — days 1–6 daily, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-08-08
Call 1 — Left Voicemail
2022-08-08
Call 1 — Left Voicemail
2022-08-08
Call 1 — Left Voicemail
2022-08-08
Call 2 — Left Voicemail
2022-08-08
Call 1 — Left Voicemail
2022-08-12
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-08-19
Survey response — day 14, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work or attend school

Free text: Flu shot

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-09-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No
4	2022-08-03	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Dry mouth

Release 6 — day 14, dose 1

2021-03-27

Symptoms: My left shoulder and arm pit hurts very bad and is swollen and tender to touch it didnt start til a couple of days after I received my 1st vaccine

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): I was shaking and having cold and hot sweats I passed out I could not stand and felt like a seizure

2021-04-11

Systemic reaction (other): DizZy spells

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Unexplainable migraines that never happen til I got the 2nd Phizer shot

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Dry mouth never had it until I received the 3rd vaccination

Release 10 — day 35, dose 3

2021-11-23

Symptoms: Weak shortness of breath chest pains fever over 100 weak muscles sore throat migraines

Release 11 — 6 months, dose 3

2022-04-19

Symptoms: Pain in left breast

Release 12 — days 1–6 daily, dose 4

2022-08-06

Systemic reaction (other): A swollen knot under my armpit appeared 2 days after I received the Pfizer vaccine booster#2 it is very swollen and hurts.in my left arm where I received the vaccine shot

Release 12 — day 14, dose 4

2022-08-19

Symptoms: Flu shot

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	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Breast pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Migraine	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Tenderness	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Axillary mass	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Seizure	✓	✓	✓
SRO	Tremor	✓	✓	✓

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