266-57422-25320

5 vaccinations 10 coded responses 35 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-02-24

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-24
Registered in v-safe
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Survey response — day 0, dose 2
MedDRA: Myalgia, Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle or body aches = prior to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Middle insomnia, Multiple sclerosis, Pre-existing disease — Feeling: Good · Site: Pain

Free text: I have MS and neglected to mention the night after the shot that I was wakened by pain at the site of my first MS exacerbation symptoms. Not serious but surprising. It recurred in the middle of the night last night. Not worrisome but unusual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Multiple sclerosis, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Same minor pain at site of my initial MS exacerbationmore protracted but not severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Still some pain in middle of night at site of first MS symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good

Free text: I suspect this has nothing to do with the vaccine, but I woke up two days ago with a sharp pain in the outside of my left thigh that was severe enough to make me scream. No injury or other evident proximate cause. Possibly < my MS ?!?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-22
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-06
Survey response — day 14, dose 3
MedDRA: Telemedicine, Vertigo positional — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: 2 days after my booster shot, I experienced what was described to me as benign paroxysmal positional vertigo for the first and only time in my life3 times in one day steering at 6 a.m. (N.B."care" below= Zoom call with doctor but no treatment.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 42, dose 3
MedDRA: Back pain, Oropharyngeal pain, Sensitivity to weather change — Feeling: Fair

Free text: Lower back pain has been worsening; sore throat this a.m., which I'm attributing to the change in the weather

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-22
Survey response — 3 months, dose 3
MedDRA: Back pain, Dyspnoea, High frequency ablation, Pain, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had an ablation for lower back pain at L3/L4/L5 last Wednesday. Currently I have a drippy nose, intermittent scratchy throat and body aches. I also get short of breath which might be from the pain in my lower back exhausting me.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Dose 4 — Pfizer-BioNTech
2022-07-30
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-08-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-08-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-05
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-08-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-09-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-09-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Pfizer-BioNTech
2022-10-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-29
Survey response — 6 months, dose 4
MedDRA: Angle closure glaucoma, Cataract operation — Feeling: Fair · 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
2023-01-29
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-01-30
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-09-22	Pfizer-BioNTech	No
4	2022-07-29	Pfizer-BioNTech	No
5	2022-10-12	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): Muscle or body aches = prior to vaccine

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): I have MS and neglected to mention the night after the shot that I was wakened by pain at the site of my first MS exacerbation symptoms. Not serious but surprising. It recurred in the middle of the night last night. Not worrisome but unusual.

2021-02-27

Systemic reaction (other): Same minor pain at site of my initial MS exacerbationmore protracted but not severe.

2021-02-28

Systemic reaction (other): Still some pain in middle of night at site of first MS symptoms

Release 5 — day 14, dose 2

2021-03-11

Symptoms: I suspect this has nothing to do with the vaccine, but I woke up two days ago with a sharp pain in the outside of my left thigh that was severe enough to make me scream. No injury or other evident proximate cause. Possibly < my MS ?!?

Release 10 — day 14, dose 3

2021-10-06

Symptoms: 2 days after my booster shot, I experienced what was described to me as benign paroxysmal positional vertigo for the first and only time in my life3 times in one day steering at 6 a.m. (N.B."care" below= Zoom call with doctor but no treatment.

Release 10 — day 42, dose 3

2021-11-03

Symptoms: Lower back pain has been worsening; sore throat this a.m., which I'm attributing to the change in the weather

Release 10 — 3 months, dose 3

2021-12-22

Symptoms: Had an ablation for lower back pain at L3/L4/L5 last Wednesday. Currently I have a drippy nose, intermittent scratchy throat and body aches. I also get short of breath which might be from the pain in my lower back exhausting me.

Release 12 — days 1–6 daily, dose 4

2022-07-30

Systemic reaction (other): No

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	Cataract operation	·	·	✓
SD	Angle closure glaucoma	·	·	✓
SD	Back pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	High frequency ablation	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sensitivity to weather change	·	·	✓
SD	Telemedicine	·	·	✓
SD	Throat irritation	·	·	✓
SD	Vertigo positional	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Myalgia	○	✓	○
SRO	No adverse event	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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