2SF-32465-88029

5 vaccinations 11 coded responses 27 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 211 / MD
Registered: 2021-02-15

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Nighttime ache in vaccinated arm after going to bed, after about an hour it is ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 21, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling just next to right armpit near right breast. Lumpectomies 2005(R) 2018 (L)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Left arm sometimes hurts at site of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Cold symptoms no fever after travel, had COVID tests on return just to be sure- negative for rapid and pcr

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-22
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 28, dose 3
MedDRA: Arthralgia, Gait disturbance, Joint stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achy and stiff knees, difficulty walking last 2 weeks. Unusual symptoms for me.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — day 42, dose 3
MedDRA: Arthralgia, Pain in extremity, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achy knees and lower legs. Nor sleeping well.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — 3 months, dose 3
MedDRA: Arthritis, Back pain, Musculoskeletal stiffness, Office visit, Physiotherapy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Arthritis flare in both knees, difficulty with stairs and stiffness after sitting, back pain in right upper quadrant. · Healthcare visit (other): Orthopedic appts for hip snd both knees, X-rays, PT (ongoing)

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-23
Call 1 — Left Voicemail
2022-03-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Moderna
2022-05-14
Survey response — day 21, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, 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: COVID positive 5/13/22

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-17
Survey response — day 28, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, 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: Tested positive for COVID 5/13/22 With BINAX home test. Husband (b)(6) tested positive for COVID 5/10/22 at Patient First (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17
Call successful
Does not wish to fill out VAERS report
2022-05-24
Survey response — day 35, dose 4
MedDRA: Adverse drug reaction, COVID-19 — Feeling: Good

Free text: Diarrhea from Paxlovid regimen for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Dose 5 — Moderna
2022-10-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site bruising — Feeling: Good · Site: Pain

Free text: Bruising at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-09-22	Pfizer-BioNTech	No
4	2022-04-19	Moderna	No
5	2022-10-13	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Nighttime ache in vaccinated arm after going to bed, after about an hour it is ok

Release 5 — day 21, dose 2

2021-03-09

Symptoms: Swelling just next to right armpit near right breast. Lumpectomies 2005(R) 2018 (L)

Release 6 — day 42, dose 2

2021-03-31

Symptoms: Left arm sometimes hurts at site of injection

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Cold symptoms no fever after travel, had COVID tests on return just to be sure- negative for rapid and pcr

Release 10 — day 28, dose 3

2021-10-22

Symptoms: Achy and stiff knees, difficulty walking last 2 weeks. Unusual symptoms for me.

Release 10 — day 42, dose 3

2021-11-03

Symptoms: Achy knees and lower legs. Nor sleeping well.

Release 10 — 3 months, dose 3

2021-12-22

Symptoms: Arthritis flare in both knees, difficulty with stairs and stiffness after sitting, back pain in right upper quadrant.

Healthcare visit (other): Orthopedic appts for hip snd both knees, X-rays, PT (ongoing)

Release 11 — day 21, dose 4

2022-05-14

Symptoms: COVID positive 5/13/22

Release 11 — day 28, dose 4

2022-05-17

Symptoms: Tested positive for COVID 5/13/22 With BINAX home test. Husband (b)(6) tested positive for COVID 5/10/22 at Patient First (b)(6)

redacted (b)(6)

Release 11 — day 35, dose 4

2022-05-24

Symptoms: Diarrhea from Paxlovid regimen for COVID

Release 12 — days 1–6 daily, dose 5

2022-10-18

Systemic reaction (other): Bruising at injection site

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	Physiotherapy	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Back pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site pain	✓	✓	✓

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