2BN-21045-11853

2 vaccinations 17 coded responses 25 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 442 / OH
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: The above symptoms are related to my underlying RAg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Symptoms prob d/t underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Myalgia — Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: More muscle aches, some sl chills but no associated fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Rheumatoid arthritis — Feeling: Good · Joint pains

Free text: Joint pain likely r/t underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Joint pains

Free text: Likely r/t underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis, Rhinorrhoea — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Likely r/t underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Rheumatoid arthritis — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Likely r/t underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symptoms likely related to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Likely related to underlying RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches

Free text: Symptoms may be due to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Joint pains

Free text: Likely related to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Prob related to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Rheumatoid arthritis — Feeling: Good · Joint pains, Muscle or body aches

Free text: Symptoms may be due to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Prob d/t RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 2
MedDRA: Rheumatoid arthritis — Feeling: Good · Joint pains, Muscle or body aches

Free text: Likely due to RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Anxiety, Depression — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Depression/anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Could Not Reach Participant
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Survey response — 12 months, dose 2
MedDRA: Bronchitis, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · 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: Bronchitis following an URI, tested negative for Covid x 2

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 months, dose 2
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)
2022-03-29
Call 1 — Left Voicemail
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): The above symptoms are related to my underlying RAg

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Symptoms prob d/t underlying RA

2021-03-06

Systemic reaction (other): More muscle aches, some sl chills but no associated fever

2021-03-07

Systemic reaction (other): Joint pain likely r/t underlying RA

2021-03-08

Systemic reaction (other): Likely r/t underlying RA

2021-03-09

Systemic reaction (other): Likely r/t underlying RA

2021-03-10

Systemic reaction (other): Likely r/t underlying RA

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Symptoms likely related to RA

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Likely related to underlying RA

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Symptoms may be due to RA

2021-03-28

Systemic reaction (other): Likely related to RA

2021-03-29

Systemic reaction (other): Prob related to RA

2021-03-30

Systemic reaction (other): Symptoms may be due to RA

2021-03-31

Systemic reaction (other): Prob d/t RA

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Likely due to RA

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Depression/anxiety

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Bronchitis following an URI, tested negative for Covid x 2

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	Anxiety	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Depression	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓
SRO	Rhinorrhoea	○	✓	○
SRO	Unevaluable event	✓	✓	✓

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