ZXD-10284-25884

5 vaccinations 15 coded responses 43 check-ins 13 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-03-06

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

2021-02-28
Dose 1 — Pfizer-BioNTech
2021-03-06
Registered in v-safe
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — day 14, dose 1
MedDRA: Ear pain — Feeling: Good

Free text: Just a earache for three days. I dont think it has to do with the vaccination .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · Chills, Muscle or body aches

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

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Survey response — day 28, dose 2
MedDRA: Arthralgia, Mobility decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shoulder pain and trouble lifting arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 42, dose 2
MedDRA: Arthralgia, Medical counselling, Pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shoulder and upper arm pain · Healthcare visit (other): I had an appointment already scheduled so I talked with the doctor about the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-20
Survey response — 3 months, dose 2
MedDRA: Flushing, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flushing and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Adverse drug reaction, Botulinum toxin injection, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Thyroid biopsy .leg and feet swelling . I also had a reaction to a botox injection for my throat .

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 2 — Left Voicemail
2021-10-25
Dose 3 — Pfizer-BioNTech
2022-03-21
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Light pain in the right side stomach area and left shoulder pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-02
Dose 4 — Pfizer-BioNTech
2022-05-02
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Nausea

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2022-05-09
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2022-05-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Survey response — day 21, dose 4
MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — day 28, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea for 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — day 35, dose 4
MedDRA: Hernia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hernia

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Survey response — day 42, dose 4
MedDRA: Hernia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hernia

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call 1 — Left Voicemail
2022-06-14
Call 1 — Left Voicemail
2022-06-14
Call 1 — Left Voicemail
2022-06-14
Call 1 — Left Voicemail
2022-06-14
Call 1 — Left Voicemail
2022-06-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-01
Survey response — 3 months, dose 4
MedDRA: Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in
2022-11-07
Dose 5 — Pfizer-BioNTech
2022-11-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-28
Survey response — day 21, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-28
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-29
Call 1 — Left Voicemail
2022-12-05
Survey response — day 28, dose 5
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain in left knee

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-06
Survey response — 3 months, dose 5
MedDRA: Atrial flutter — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-06
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-08
Survey response — 6 months, dose 5
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-08
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-09
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	No
4	2022-05-02	Pfizer-BioNTech	No
5	2022-11-07	Pfizer-BioNTech	No

Call center

9 call center cases

9 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Just a earache for three days. I dont think it has to do with the vaccination .

Release 7 — day 28, dose 2

2021-04-18

Symptoms: Shoulder pain and trouble lifting arm.

Release 8 — day 42, dose 2

2021-05-02

Symptoms: Shoulder and upper arm pain

Healthcare visit (other): I had an appointment already scheduled so I talked with the doctor about the pain.

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: Flushing and headaches

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: Thyroid biopsy .leg and feet swelling . I also had a reaction to a botox injection for my throat .

Release 11 — 12 months, dose 2

2022-03-21

Symptoms: Light pain in the right side stomach area and left shoulder pain.

Release 11 — day 21, dose 4

2022-05-23

Symptoms: Lightheaded

Release 11 — day 28, dose 4

2022-05-30

Symptoms: Diarrhea for 2 days

Release 11 — day 35, dose 4

2022-06-06

Symptoms: Hernia

Release 12 — day 42, dose 4

2022-06-13

Symptoms: Hernia

Release 12 — 3 months, dose 4

2022-08-01

Symptoms: Vomiting

Release 12 — day 21, dose 5

2022-11-28

Symptoms: Sore throat

Release 12 — day 28, dose 5

2022-12-05

Symptoms: Pain in left knee

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	Medical counselling	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Atrial flutter	·	·	✓
SD	Botulinum toxin injection	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hernia	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Vomiting	·	·	✓

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