3CL-35505-90038

5 vaccinations 12 coded responses 46 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 577 / SD
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Survey response — day 0, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: All normal for fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Nothing more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-17
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea possibly fibromyalgia related. Symptoms subsided with rest and diet restriction

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Survey response — day 28, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: In a fibro flare.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Irritable bowel syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ibs

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — 6 months, dose 3
MedDRA: Aortic aneurysm, Kidney infection, Nephrolithiasis, Renal artery stent placement — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Kidney stone 6mm. Kidney infection, stent placed. Waiting for kidney to heal before stent removal. Also AAA borderline 5mm will need stent as soon as kidney issue is resolved · Healthcare visit (other): Surgical placement of renal stent

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail
2022-07-02
Dose 4 — Pfizer-BioNTech
2022-07-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-16
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-06
Survey response — day 35, dose 4
MedDRA: Aortic aneurysm, Arterial stent insertion — Feeling: Fair

Free text: Fenestrated stent insertion fir AAA

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Survey response — day 42, dose 4
MedDRA: Fatigue, Myalgia — Feeling: Fair

Free text: Fatigue, muscle pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Dose 5 — Pfizer-BioNTech
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-21
Survey response — day 42, dose 5
MedDRA: Fibromyalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fibromyalgia is worse

MedDRA releases: 2024-11 · check-in free text available
2023-01-09
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2021-09-26	Pfizer-BioNTech	Flu
4	2022-07-02	Pfizer-BioNTech	No
5	2022-10-10	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-19

Systemic reaction (other): All normal for fibromyalgia

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Nothing more than usual

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Fibromyalgia

2021-03-15

Systemic reaction (other): Fibromyalgia

Release 10 — day 21, dose 3

2021-10-17

Symptoms: Diarrhea possibly fibromyalgia related. Symptoms subsided with rest and diet restriction

Release 10 — day 28, dose 3

2021-10-24

Symptoms: In a fibro flare.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Ibs

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Kidney stone 6mm. Kidney infection, stent placed. Waiting for kidney to heal before stent removal. Also AAA borderline 5mm will need stent as soon as kidney issue is resolved

Healthcare visit (other): Surgical placement of renal stent

Release 12 — day 14, dose 4

2022-07-16

Symptoms: Fatigue

Release 12 — day 35, dose 4

2022-08-06

Symptoms: Fenestrated stent insertion fir AAA

Release 12 — day 42, dose 4

2022-08-13

Symptoms: Fatigue, muscle pain

Release 12 — day 42, dose 5

2022-11-21

Symptoms: Fibromyalgia is worse

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	Renal artery stent placement	·	·	✓
SD	Aortic aneurysm	·	·	✓
SD	Arterial stent insertion	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Kidney infection	·	·	✓
SD	Myalgia	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal artery stent placement	·	·	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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