2H5-92463-81582

5 vaccinations 16 coded responses 52 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 730 / OK
Registered: 2021-02-09

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

2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-09
Registered in v-safe
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ehlers-Danlos syndrome, Fibromyalgia, Pain, Pre-existing disease — Feeling: Good · Joint pains

Free text: I have (b)(6) & Fibromyalgia which both cause chronic persistent joint point and spinal, lumbar & cervical, in my case. I've been living with chronic pain for over 10 years related to these conditions and normal aging. I also have left ventricular dysfunction and mild hypertension controlled most days with medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache, Joint pains

Free text: Have chronic pain due to scoliosis, Ehlers Danlos syndrome and fibromyalgia. The slight headache is something I have noticed since the evening after I got my 1st dose of Pfizer Monday 2.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fever · Headache, Joint pains

Free text: Pain related to chronic health issues. I haven't had a change in pain since before I got the vaccine. It is not worse than it was was before being vaccinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 7, dose 1
MedDRA: Poor quality sleep — Feeling: Good

Free text: Poor sleep quality

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Pfizer-BioNTech
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Fever · Chills, Headache

Free text: Have seasonal allergies and cedar is high. Think HA related to allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fibromyalgia (severe) prob cause of fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Fibromyalgia — Feeling: Good · Fatigue or tiredness

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 2
MedDRA: Back pain, Fatigue, Neck pain, Pre-existing disease — Feeling: Good

Free text: Fatigue Fibromyalgia flare upIncreased lumbar/cervical spine pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: I have Ehlers Danlos Syndrome causes joint pain daily.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: Got my annual flu shot 10.11.21 Fluzone 65+ PF 0.7ml Feel fine today. No soreness @ inj. site.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Asthenia, Chills, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, sore throat, chills. No fever Feel like staying in chair.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-02
Survey response — days 1–6 daily, dose 4
MedDRA: Bone pain, Joint laxity — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Live with constant bone pain and joint laxity.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches

Adult check-in
2022-04-06
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body aches

Free text: Bad Allergies!

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Survey response — 3 months, dose 4
MedDRA: Epistaxis, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood coming from R nostril x 2 days caused by severe sinus infection tx with Augmenten bid x 7 days Now resolved

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call 1 — Left Voicemail
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-11
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-13
Survey response — 3 months, dose 5
MedDRA: Breast cancer, Mastectomy, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with breast cancer 11.28.22 (R) Mastectomy done 12.12.22 Path report pending · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-12
Survey response — 6 months, dose 5
MedDRA: Intraductal proliferative breast lesion, Mastectomy, Office visit, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-12
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-03-01	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-09-11	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): I have (b)(6) & Fibromyalgia which both cause chronic persistent joint point and spinal, lumbar & cervical, in my case. I've been living with chronic pain for over 10 years related to these conditions and normal aging. I also have left ventricular dysfunction and mild hypertension controlled most days with medication.

redacted (b)(6)

2021-02-11

Systemic reaction (other): Have chronic pain due to scoliosis, Ehlers Danlos syndrome and fibromyalgia. The slight headache is something I have noticed since the evening after I got my 1st dose of Pfizer Monday 2.8

2021-02-12

Systemic reaction (other): Pain related to chronic health issues. I haven't had a change in pain since before I got the vaccine. It is not worse than it was was before being vaccinated.

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): Poor sleep quality

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Have seasonal allergies and cedar is high. Think HA related to allergies.

2021-03-07

Systemic reaction (other): Fibromyalgia (severe) prob cause of fatigue

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Fibromyalgia

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Fatigue Fibromyalgia flare upIncreased lumbar/cervical spine pain.

Release 9 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): I have Ehlers Danlos Syndrome causes joint pain daily.

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Got my annual flu shot 10.11.21 Fluzone 65+ PF 0.7ml Feel fine today. No soreness @ inj. site.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Runny nose, sore throat, chills. No fever Feel like staying in chair.

Release 11 — days 1–6 daily, dose 4

2022-04-02

Systemic reaction (other): Live with constant bone pain and joint laxity.

2022-04-06

Systemic reaction (other): Bad Allergies!

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Blood coming from R nostril x 2 days caused by severe sinus infection tx with Augmenten bid x 7 days Now resolved

Release 12 — 3 months, dose 5

2022-12-13

Symptoms: Diagnosed with breast cancer 11.28.22 (R) Mastectomy done 12.12.22 Path report pending

Healthcare visit (other): Surgery

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	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Breast cancer	·	·	✓
SD	Chills	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Intraductal proliferative breast lesion	·	·	✓
SD	Mastectomy	·	·	✓
SD	Neck pain	✓	✓	✓
SD	No adverse event	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Bone pain	·	·	✓
SRO	Ehlers-Danlos syndrome	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Joint laxity	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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