3JK-13169-87100

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 010 / MA
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain in both knees. Gastrointestinal upset

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Mood swings — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Mood swings similar to PMS symptoms which I have not had in 15 years or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Chest pain, Pain, Pain in extremity, Peripheral coldness — Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: For about 3 hours last night my left shoulder, arm and hand aches and was physically cold to the touch. My right side was not quite as cold and did not ache. I used hot pads to try to alleviate the pain. This morning the ache was in my upper back and chest area but was much milder. This afternoon he ache seems to be gone. the ache seems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Muscle or body aches

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain in thumbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint ache flare ups in hands, knees, feet, and now jaw

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Pfizer-BioNTech
2021-12-16
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-17
Survey response — 3 months, dose 3
MedDRA: Inflammation, Peripheral swelling, 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

Free text: Symptoms: Swollen inflamed area above metatarsals · Healthcare visit (other): X-rays

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 3 months, dose 3
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)
2022-03-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-12-16	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Joint pain in both knees. Gastrointestinal upset

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Mood swings similar to PMS symptoms which I have not had in 15 years or so.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): For about 3 hours last night my left shoulder, arm and hand aches and was physically cold to the touch. My right side was not quite as cold and did not ache. I used hot pads to try to alleviate the pain. This morning the ache was in my upper back and chest area but was much milder. This afternoon he ache seems to be gone. the ache seems

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Joint pain in thumbs

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Joint ache flare ups in hands, knees, feet, and now jaw

Release 10 — day 0, dose 3

2021-12-16

Systemic reaction (other): No

Release 10 — day 21, dose 3

2022-01-06

Symptoms: Fatigue

Release 11 — 3 months, dose 3

2022-03-17

Symptoms: Swollen inflamed area above metatarsals

Healthcare visit (other): X-rays

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Inflammation	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓

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