3DF-26907-80967

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 952 / CA
Registered: 2021-06-03

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

2021-06-03
Registered in v-safe
2021-06-03
Dose 1 — Pfizer-BioNTech
2021-06-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: I have RA, stopped my meds for a week per my Rheumatologists suggestion. No flare ups so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-10
Survey response — day 7, dose 1
MedDRA: Sinus disorder — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-25
Dose 2 — Pfizer-BioNTech
2021-06-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-07-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-02
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-07-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Musculoskeletal stiffness — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Short of breath, stiff neck and cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Muscular weakness, Neck pain — Feeling: Poor · 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: Fatigue, muscle weakness, shortness of breath and neck and shoulder pain. On 40mg of prednisone a day and MRI scheduled. Possible RA flare-up

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-07-24
Call successful
Participant prefers to complete VAERS report online
2021-08-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Call 1 — Left Voicemail
2021-08-06
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Hypertension, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: High blood pressure 192/105Extreme fatigue and joint pain · Healthcare visit (other): Appointment is scheduled for the 11th

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Call 1 — Left Voicemail
2021-12-25
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Peripheral swelling, SARS-CoV-2 test positive, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Shortness of breath, temperature, fatigue, swollen legs and feet. Tested positive for Covid.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — 6 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-06-26
Survey response — 12 months, dose 2
MedDRA: Neuropathy peripheral — 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: Neuropathy

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Report sent to call center — 12 months, dose 2
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)
2022-06-27
Call successful
Participant prefers to complete VAERS report online
2022-06-27
Call successful
Participant prefers to complete VAERS report online
2022-06-27
Call successful
Participant prefers to complete VAERS report online
2022-06-27
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Pfizer-BioNTech
2	2021-06-25	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-04

Systemic reaction (other): I have RA, stopped my meds for a week per my Rheumatologists suggestion. No flare ups so far.

Release 9 — day 7, dose 1

2021-06-10

Systemic reaction (other): Sinus problems

Release 9 — day 21, dose 2

2021-07-16

Symptoms: Short of breath, stiff neck and cough

Release 9 — day 28, dose 2

2021-07-23

Symptoms: Fatigue, muscle weakness, shortness of breath and neck and shoulder pain. On 40mg of prednisone a day and MRI scheduled. Possible RA flare-up

Release 9 — day 42, dose 2

2021-08-06

Symptoms: High blood pressure 192/105Extreme fatigue and joint pain

Healthcare visit (other): Appointment is scheduled for the 11th

Release 10 — 6 months, dose 2

2021-12-25

Symptoms: Shortness of breath, temperature, fatigue, swollen legs and feet. Tested positive for Covid.

Release 12 — 12 months, dose 2

2022-06-26

Symptoms: Neuropathy

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	Arthralgia	✓	·	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Hypertension	✓	·	✓
SD	Muscular weakness	✓	·	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Neck pain	✓	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓

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