2YU-32212-53803

4 vaccinations 9 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 622 / IL
Registered: 2021-04-05

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-05
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: Just got the vaccine 15 minutes ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My health conditions are RA and MG

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Inflammation, Infusion, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · 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: Symptoms: I have RA and I have had a flair since April that raised protein in my blood and is causing a lot of inflammation especially in my feet · Healthcare visit (other): Infusion with symphony aria

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
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)
2021-07-09
Call successful
Does not wish to fill out VAERS report
2021-08-20
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: PSA (arthritis) nothing to do with the shot. I would like to state that I have had my 3rd vaccination under Pfizer

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-05
Survey response — day 42, dose 3
MedDRA: Pain in extremity, Psoriatic arthropathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Psoriatic arthritis. Severe pain in both heels

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Call 2 — Left Voicemail
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pain in extremity, Pre-existing disease — Feeling: Good

Free text: It kick started my PSA with my 2nd and 3rd vaccine and I have a painful left heel today so since I am on Simponi Aria infusion now I am hopeful I do not get more PSA symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Good

Free text: Slight heel pain only but not progressing

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Good

Free text: Some heel pain associated with PSA

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Joint swelling, Swelling, Tendon pain, Unevaluable event — 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

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 12 months, dose 4
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)
2023-04-13
Call 1 — Left Voicemail
2023-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): Just got the vaccine 15 minutes ago

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): My health conditions are RA and MG

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: I have RA and I have had a flair since April that raised protein in my blood and is causing a lot of inflammation especially in my feet

Healthcare visit (other): Infusion with symphony aria

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: PSA (arthritis) nothing to do with the shot. I would like to state that I have had my 3rd vaccination under Pfizer

Release 10 — day 42, dose 3

2021-10-05

Symptoms: Psoriatic arthritis. Severe pain in both heels

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): It kick started my PSA with my 2nd and 3rd vaccine and I have a painful left heel today so since I am on Simponi Aria infusion now I am hopeful I do not get more PSA symptoms

2022-04-16

Systemic reaction (other): Slight heel pain only but not progressing

2022-04-17

Systemic reaction (other): Some heel pain associated with PSA

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	Infusion	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Swelling	·	·	✓
SD	Tendon pain	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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