32J-32769-97029

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Fair · Fatigue or tiredness

Free text: I have autoimmune disease, microscopic polyangiitis, symptoms wax and wane, so don't know what might be due to shot. Second day after shot though, surprisingly felt better than usual.. ??expected it to exacerbate my sxs..pic polyangiitis,, which causes chills, joint pains, exhaustion, so

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: These sxs we're already there from my autoimmune disease...none additional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Facial pain, Headache, Pain of skin, Pre-existing disease, Swelling — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Headache progressed to pain in bones in face and ears, then stabbing pains in face and front of scalp. Lasted full day, now starting to clear. Have bundles of swollen blood vessels on both sides from temple to scalp, that progressed to stabbing pains in face and front of scalp. Never had this before with microscopic polyangiitis. ? Due to vaccine.

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: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Fatigue, Pain, Pre-existing disease — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mostly back to sxs that come with microscopic polyangiitis, maybe a little more achy and tired than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Microscopic polyangiitis, Pre-existing disease — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: Normal MPA symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Flare of MPA... ?made worse by pollen allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Lung disorder — Feeling: Fair

Free text: Lung issues, being followed

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Survey response — 12 months, dose 2
MedDRA: Atypical mycobacterial infection, Computerised tomogram abnormal, Culture positive, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had bronchoscopy yesterday for nontuberulous microbacterium, found on CT and culture...results in a wk or so. · Healthcare visit (other): Bronchoscopy in hospital as outpatient.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I have autoimmune disease, microscopic polyangiitis, symptoms wax and wane, so don't know what might be due to shot. Second day after shot though, surprisingly felt better than usual.. ??expected it to exacerbate my sxs..pic polyangiitis,, which causes chills, joint pains, exhaustion, so

Release 6 — day 0, dose 2

2021-03-24

Systemic reaction (other): These sxs we're already there from my autoimmune disease...none additional

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Headache progressed to pain in bones in face and ears, then stabbing pains in face and front of scalp. Lasted full day, now starting to clear. Have bundles of swollen blood vessels on both sides from temple to scalp, that progressed to stabbing pains in face and front of scalp. Never had this before with microscopic polyangiitis. ? Due to vaccine.

2021-03-30

Systemic reaction (other): Mostly back to sxs that come with microscopic polyangiitis, maybe a little more achy and tired than usual.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Normal MPA symptoms.

Release 7 — day 28, dose 2

2021-04-21

Symptoms: Flare of MPA... ?made worse by pollen allergies.

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Lung issues, being followed

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: Had bronchoscopy yesterday for nontuberulous microbacterium, found on CT and culture...results in a wk or so.

Healthcare visit (other): Bronchoscopy in hospital as outpatient.

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	Unevaluable event	·	·	✓
SD	Atypical mycobacterial infection	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Culture positive	·	·	✓
SD	Lung disorder	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Microscopic polyangiitis	○	✓	○
SRO	Pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓

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