3JV-14802-46748

1 vaccination 9 coded responses 12 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 846 / UT
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Complex regional pain syndrome, Insomnia, Pain in extremity, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I honesly didn't have a symptom till about 8 hours after vaccination. I Could not sleep all night, i had a fever, chills and my arm hurt bad. I've had some problems with RSD and it can make something minor worse..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: I don't think i checked in yesterday. I am much better today, only moderate today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Some unexplained weird bruises.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — day 7, dose 1
MedDRA: Blood urine present, Unevaluable event — Feeling: Fair · Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Blood in urine. I dont think it could be related but i have never had that before. · Healthcare visit (other): I will wait till tomorrow and see.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site erythema, Joint swelling, Nephrolithiasis — Feeling: Good · Be unable to work, 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: Kidney stones, swollen painful ankle, however pain goes away when not swollen. No injuries. Still red at shot site especially when cold.I am not sure if things are all related, but seems like it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Fatigue, Nephrolithiasis — Feeling: Good

Free text: Still short of breath, tired, but that is more from covid than the shot I think. I did end up with a kidney stone. I was blaming on the vaccine. Before I knew what it was. I don't know if it is a side effect though. I postponed my 2nd due to vacation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 35, dose 1
MedDRA: Blood urine present, Urinary tract infection — Feeling: Good · Be unable to work

Free text: Blood in urine. Not a uti

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-06-22
Survey response — 3 months, dose 1
MedDRA: Nephrolithiasis — 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

Free text: Kidney stones, a little bit if everything. I haven't been good for months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-24
Call 1 — Could Not Reach Participant
2021-07-06
Call 2 — Could Not Reach Participant
2021-07-08
Call 3 — Could Not Reach Participant
2022-03-24
Survey response — 12 months, dose 1
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had Covid again

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): I honesly didn't have a symptom till about 8 hours after vaccination. I Could not sleep all night, i had a fever, chills and my arm hurt bad. I've had some problems with RSD and it can make something minor worse..

2021-03-26

Systemic reaction (other): I don't think i checked in yesterday. I am much better today, only moderate today.

2021-03-27

Systemic reaction (other): Some unexplained weird bruises.

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Blood in urine. I dont think it could be related but i have never had that before.

Healthcare visit (other): I will wait till tomorrow and see.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Kidney stones, swollen painful ankle, however pain goes away when not swollen. No injuries. Still red at shot site especially when cold.I am not sure if things are all related, but seems like it.

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Still short of breath, tired, but that is more from covid than the shot I think. I did end up with a kidney stone. I was blaming on the vaccine. Before I knew what it was. I don't know if it is a side effect though. I postponed my 2nd due to vacation cut off by CDC

Release 8 — day 35, dose 1

2021-04-29

Symptoms: Blood in urine. Not a uti

Release 9 — 3 months, dose 1

2021-06-22

Symptoms: Kidney stones, a little bit if everything. I haven't been good for months.

Release 11 — 12 months, dose 1

2022-03-24

Symptoms: I had Covid again

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	Blood urine present	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Blood urine present	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Complex regional pain syndrome	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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