3M2-18812-27556

5 vaccinations 14 coded responses 40 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 925 / CA
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · 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: Exacerbated pain in arthritic left knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Dizziness, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Exacerbated pain in arthritic left knee; dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Dizziness, Pre-existing disease, Sensory processing sensitivity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Sensitivity to smells, arthritis pain, dizziness

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: Arthralgia, Lymphadenopathy — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Swollen lymph nodes, arthritis pain in knee is worse today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Gait disturbance, Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Arthritis exacerbated in left knee- difficulty walking.

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: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fall, Hypoaesthesia, Mobility decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: 1) Pain/reduced mobility of the left arm/shoulder where injection occurred. Painful mass at my shoulder joint and pain at left scapula.2)Left leg numbness/strength loss resulting in a fall. Still numb at calf/ankle/2 toes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Joint swelling, Malaise, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left shoulder still in some pain and also has swelling. Left hip and knee still in pain. Occasional malaise/fatigue/painful joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Injection site reaction, Lipoma, Pre-existing disease — Feeling: Good · 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: Lipoma at site of injections, arthritis at left shoulder (site of injections)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-06-22
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Dose 3 — Pfizer-BioNTech
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-09-29
Dose 5 — Pfizer-BioNTech
2022-09-29
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Back pain, Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore neck, backache

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Swollen lymph glands under arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-06
Survey response — day 7, dose 5
MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Backache

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 35, dose 5
MedDRA: Headache, Nausea, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, nausea, sleep disturbances

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — day 42, dose 5
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-09-29	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Exacerbated pain in arthritic left knee

2021-03-13

Systemic reaction (other): Exacerbated pain in arthritic left knee; dizziness

2021-03-14

Systemic reaction (other): Sensitivity to smells, arthritis pain, dizziness

2021-03-15

Systemic reaction (other): Swollen lymph nodes, arthritis pain in knee is worse today

2021-03-16

Systemic reaction (other): Arthritis exacerbated in left knee- difficulty walking.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: 1) Pain/reduced mobility of the left arm/shoulder where injection occurred. Painful mass at my shoulder joint and pain at left scapula.2)Left leg numbness/strength loss resulting in a fall. Still numb at calf/ankle/2 toes.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Left shoulder still in some pain and also has swelling. Left hip and knee still in pain. Occasional malaise/fatigue/painful joints.

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Lipoma at site of injections, arthritis at left shoulder (site of injections)

Release 12 — days 1–6 daily, dose 5

2022-09-30

Systemic reaction (other): Sore throat

2022-10-01

Systemic reaction (other): Sore neck, backache

2022-10-02

Systemic reaction (other): Swollen lymph glands under arm

Release 12 — day 7, dose 5

2022-10-06

Systemic reaction (other): Backache

Release 12 — day 35, dose 5

2022-11-03

Symptoms: Headache, nausea, sleep disturbances

Release 12 — day 42, dose 5

2022-11-12

Symptoms: Fatigue

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
SD	Arthralgia	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Joint swelling	✓	✓	○
SD	Lipoma	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Swelling	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sensory processing sensitivity	✓	✓	✓

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