39J-11085-18692

5 vaccinations 21 coded responses 57 check-ins 20 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
Registered: 2021-02-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-06
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 · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains

Free text: I have arthritis; so, I experience some pain here or there sometimes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains

Free text: I have arthritis, and I feel pain at injection site only if I touch it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Only if I touch my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · 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
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Muscle spasms, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Muscle spasms in left shoulder. · Healthcare visit (other): Physical visit to pcp doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-11
Dose 3 — Pfizer-BioNTech
2021-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis — Feeling: Good · Site: Itching · Joint pains

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Headache, Joint pains

Free text: Arthritis, allergies

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — day 7, dose 3
MedDRA: Arthritis — Feeling: Fair · Joint pains, Nausea

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 35, dose 3
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Rash on arms. Don't know if allergies or what? It does itch.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail
2021-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-10
Survey response — 3 months, dose 3
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Rash on armssometimes itchy and sometimes not itchy. I may have already reported thisdon't remember.

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis — Feeling: Good · Site: Swelling · Joint pains

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Arthritis, Back pain — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Lower back pain, arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — day 7, dose 4
MedDRA: Arthritis — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Arthritis

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-29
Survey response — day 35, dose 4
MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pains and joint pain like knees , fingers, and feet

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Back pain, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Almost constant lower back pain and pain on left hip, thigh, knees, and elbow. · Healthcare visit (other): Doctors appointments

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-27
Call 1 — Could Not Reach Participant
2022-08-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu:Tetanus
2022-10-22
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains

Free text: Itching and swelling in arm around injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-10-27
Health check-in — day 7, dose 5
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-20
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Neck pain, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-20
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No
4	2022-04-24	Pfizer-BioNTech	No
5	2022-10-20	Pfizer-BioNTech	Flu:Tetanus

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): I have arthritis; so, I experience some pain here or there sometimes.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): I have arthritis, and I feel pain at injection site only if I touch it.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Only if I touch my arm

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Muscle spasms in left shoulder.

Healthcare visit (other): Physical visit to pcp doctor

Release 10 — days 1–6 daily, dose 3

2021-10-14

Systemic reaction (other): Arthritis

2021-10-15

Systemic reaction (other): Arthritis

2021-10-16

Systemic reaction (other): Arthritis

2021-10-17

Systemic reaction (other): Arthritis, allergies

Release 10 — day 7, dose 3

2021-10-18

Systemic reaction (other): Arthritis

Release 10 — day 35, dose 3

2021-11-15

Symptoms: Rash on arms. Don't know if allergies or what? It does itch.

Release 10 — 3 months, dose 3

2022-01-10

Symptoms: Rash on armssometimes itchy and sometimes not itchy. I may have already reported thisdon't remember.

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Arthritis

2022-04-26

Systemic reaction (other): Arthritis

2022-04-27

Systemic reaction (other): Arthritis

2022-04-28

Systemic reaction (other): Arthritis

2022-04-30

Systemic reaction (other): Lower back pain, arthritis

Release 11 — day 7, dose 4

2022-05-01

Systemic reaction (other): Arthritis

Release 11 — day 35, dose 4

2022-05-29

Symptoms: Lower back pains and joint pain like knees , fingers, and feet

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Almost constant lower back pain and pain on left hip, thigh, knees, and elbow.

Healthcare visit (other): Doctors appointments

Release 12 — days 1–6 daily, dose 5

2022-10-22

Systemic reaction (other): Itching and swelling in arm around 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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Muscle spasms	✓	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SRO	Arthritis	·	·	✓
SRO	Back pain	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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