Z6P-94875-23280

3 vaccinations 11 coded responses 23 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 209 / MD
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-20
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Symptoms are from ongoing medical condition pre COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling, Swelling face — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Swelling of my hands, face and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling, Swelling face — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling in my feet, face and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Oropharyngeal pain, Peripheral swelling, Swelling face — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen face, hands and legs/feet; sore and painful breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Swollen feet and ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work

Free text: Swelling in my feet and ankle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 2
MedDRA: Breast pain, Peripheral swelling — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen feet and painful breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 14, dose 2
MedDRA: Breast pain, Peripheral swelling — Feeling: Fair · 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: Swollen feet and legs, sore breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 14, 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)
2021-06-01
Survey response — day 21, dose 2
MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle Spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Chest pain, Peripheral swelling — Feeling: Poor · 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: Im having chest pains and fluttering also the swelling in my feet and legs are swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 35, 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)
2021-06-22
Call 1 — Left Voicemail
2021-06-24
Survey response — day 42, dose 2
MedDRA: Cholecystectomy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had to my gallbladder removed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Unsuccessful
2021-06-15	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-20

Systemic reaction (other): Symptoms are from ongoing medical condition pre COVID

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Swelling of my hands, face and feet

2021-05-14

Systemic reaction (other): Swelling in my feet, face and hands

2021-05-15

Systemic reaction (other): Swollen face, hands and legs/feet; sore and painful breast

2021-05-16

Systemic reaction (other): Swollen feet and ankles

2021-05-17

Systemic reaction (other): Swelling in my feet and ankle

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Swollen feet and painful breast

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Swollen feet and legs, sore breast

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Muscle Spasms

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Im having chest pains and fluttering also the swelling in my feet and legs are swollen

Release 9 — day 42, dose 2

2021-06-24

Symptoms: Had to my gallbladder removed

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	Breast pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cholecystectomy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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