3MZ-17693-01534

4 vaccinations 15 coded responses 34 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 112 / NY
Registered: 2021-02-09

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 2
MedDRA: Musculoskeletal discomfort, Sinus pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Sinuses hurt some, neck discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Ear discomfort, Head discomfort, Headache, Limb immobilisation, Neck pain, Pain in extremity, Paranasal sinus discomfort, Sinus disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, arm pain, neck pain, ongoing headache, sinus pressure & pain, head pressure, ear pressure, right leg pain which limited my walking as could not put weight on it, off balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash on face especially around the eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pruritus — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Very tired and very itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Pruritus, Self-medication, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Very Itchy Welts by my elbows & along my neck by the hairline cream doesnt help. Using ice. Could be part of autoimmune rash I have been battling. Usually, I can differentiate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-09
Survey response — day 7, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: Itchy welts are still an issue. Will see doctor tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: The welts that developed after dose 2 still persist on my neck & arms as does a rash. They continue to be constantly itchy without any relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Office visit, Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The rash continues & its very itchy. The annoying headaches continue daily. I do not do as much daily as I should. I get tired easily. · Healthcare visit (other): During visit with dermatologist $ primary care physician, I have mentioned these problems. Since I have been treated for a skin condition regularly, this different rash is just treated as the other. They chalk the headache to allergies or spring.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 35, dose 2
MedDRA: Dizziness, Headache, Occupational therapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The constant headache continues. The dizzy spells continue, but some episodes have been severe accompanied by worse headaches. · Healthcare visit (other): I am going for occupational therapy, have reached out to my neurologist & will see an ENT specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
2022-01-22
Call 1 — Could Not Reach Participant
2022-01-27
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-11
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Survey response — day 14, dose 4
MedDRA: Injection site discomfort, Limb discomfort, Mobility decreased, Musculoskeletal discomfort, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: 2 days following injection, the site bothered me. It has progressed to slowly down the arm to the elbow area. The arm hurts enough that I am aware of it & other times it is a bit restricting. Is this a problem of concern? Some actions are limited.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 21, dose 4
MedDRA: Arthralgia, Discomfort, Pain in extremity — Feeling: Fair

Free text: The arm pain that traveled to the area of the bend in elbow is still a problem. Some times it intensifies. Other times, there's less discomfort.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — day 28, dose 4
MedDRA: Limb discomfort — Feeling: Fair

Free text: The arm is still bothering me, but in a different spot. It doesn't stop me from doing things, but I have to adjust some movements

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Survey response — day 35, dose 4
MedDRA: Arthropathy, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: The arm is still a problem especially in the middle portion involving the elbow and it's other side.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — day 42, dose 4
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: The arm problem involves the elbow on both sides. The inner elbow pain feels like a pull or similar. Sometimes the pain goes to the fingers, but not usually,

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-11
Survey response — 12 months, dose 4
MedDRA: Headache, Pain, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-11-09	Pfizer-BioNTech	No
4	2022-05-11	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Sinuses hurt some, neck discomfort

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Dizziness, arm pain, neck pain, ongoing headache, sinus pressure & pain, head pressure, ear pressure, right leg pain which limited my walking as could not put weight on it, off balance

2021-03-04

Systemic reaction (other): Rash on face especially around the eyes

2021-03-06

Systemic reaction (other): Very tired and very itchy

2021-03-07

Systemic reaction (other): Very Itchy Welts by my elbows & along my neck by the hairline cream doesnt help. Using ice. Could be part of autoimmune rash I have been battling. Usually, I can differentiate.

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Itchy welts are still an issue. Will see doctor tomorrow

Release 5 — day 14, dose 2

2021-03-16

Symptoms: The welts that developed after dose 2 still persist on my neck & arms as does a rash. They continue to be constantly itchy without any relief.

Release 6 — day 28, dose 2

2021-03-30

Symptoms: The rash continues & its very itchy. The annoying headaches continue daily. I do not do as much daily as I should. I get tired easily.

Healthcare visit (other): During visit with dermatologist $ primary care physician, I have mentioned these problems. Since I have been treated for a skin condition regularly, this different rash is just treated as the other. They chalk the headache to allergies or spring.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: The constant headache continues. The dizzy spells continue, but some episodes have been severe accompanied by worse headaches.

Healthcare visit (other): I am going for occupational therapy, have reached out to my neurologist & will see an ENT specialist.

Release 11 — day 14, dose 4

2022-05-27

Symptoms: 2 days following injection, the site bothered me. It has progressed to slowly down the arm to the elbow area. The arm hurts enough that I am aware of it & other times it is a bit restricting. Is this a problem of concern? Some actions are limited.

Release 11 — day 21, dose 4

2022-06-01

Symptoms: The arm pain that traveled to the area of the bend in elbow is still a problem. Some times it intensifies. Other times, there's less discomfort.

Release 11 — day 28, dose 4

2022-06-08

Symptoms: The arm is still bothering me, but in a different spot. It doesn't stop me from doing things, but I have to adjust some movements

Release 12 — day 35, dose 4

2022-06-15

Symptoms: The arm is still a problem especially in the middle portion involving the elbow and it's other side.

Release 12 — day 42, dose 4

2022-06-22

Symptoms: The arm problem involves the elbow on both sides. The inner elbow pain feels like a pull or similar. Sometimes the pain goes to the fingers, but not usually,

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	Headache	✓	✓	✓
HCVO	Occupational therapy	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Rash	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Discomfort	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site discomfort	·	·	✓
SD	Limb discomfort	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Limb immobilisation	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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