2JY-90076-82307

4 vaccinations 6 coded responses 28 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 932 / CA
Registered: 2021-03-24

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

2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-24
Registered in v-safe
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Ache in neck near arm with shot site.

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: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My ache is directly frim shot site high on the arm that radiates to same shoulder on site side. I feel like it is more due to the location of the injection the second vaccine rather than anything with the medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Faeces soft, Muscle spasms, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Unexpected gastro upset., cramping and soft stool and diarrhea. Upset stomach. I took Imodium tablet to calm the event. Better, today. FL

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Osteoporosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: With a Dexa Test, I have developed Osteoporosis of lumbar spine requiring medication.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Call 1 — Could Not Reach Participant
2021-09-30
Call 2 — Could Not Reach Participant
2021-11-24
Dose 3 — Pfizer-BioNTech
2022-03-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Soreness at shot site.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Survey response — day 14, dose 4
MedDRA: Pruritus — Feeling: Fair

Free text: Itching-legs, arms, face, belly. Feels like allergy to something.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-23
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-05-23	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Ache in neck near arm with shot site.

2021-03-28

Systemic reaction (other): My ache is directly frim shot site high on the arm that radiates to same shoulder on site side. I feel like it is more due to the location of the injection the second vaccine rather than anything with the medication.

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Unexpected gastro upset., cramping and soft stool and diarrhea. Upset stomach. I took Imodium tablet to calm the event. Better, today. FL

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: With a Dexa Test, I have developed Osteoporosis of lumbar spine requiring medication.

Release 11 — days 1–6 daily, dose 4

2022-05-24

Systemic reaction (other): Soreness at shot site.

Release 11 — day 14, dose 4

2022-06-06

Symptoms: Itching-legs, arms, face, belly. Feels like allergy to something.

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	Abdominal discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Faeces soft	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Osteoporosis	·	·	✓
SD	Pruritus	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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