3P2-28235-51965

3 vaccinations 9 coded responses 16 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 232 / VA
Registered: 2021-04-07

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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Menstrual disorder — Feeling: Good · Headache, Abdominal pain

Free text: Menstrual period started three days early

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Eczema rashes have gotten worse and more frequent, not sure if related to allergies or shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Shoulder joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site joint movement impairment, Joint range of motion decreased, Nerve compression — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pinched nerve in shoulder from the injection is still limiting my range of motion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains

Free text: Left shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain/ impingement from the vaccine site keeps recurring. Administering nurse probably placed the needle into my joint instead of my deltoid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-15
Call 3 — Left Voicemail
2023-01-02
Survey response — 12 months, dose 3
MedDRA: SARS-CoV-2 test positive, Throat clearing — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-01-02
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2023-01-03
Call 1 — Could Not Reach Participant
2023-01-03
Call 1 — Could Not Reach Participant
2023-01-06
Call 2 — Could Not Reach Participant
2023-01-06
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-12-30	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-03	Unsuccessful
2023-01-02	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Extreme dizziness

2021-04-08

Systemic reaction (other): Confusion

2021-04-10

Systemic reaction (other): Menstrual period started three days early

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Eczema rashes have gotten worse and more frequent, not sure if related to allergies or shot

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Shoulder joint pain

2021-05-03

Systemic reaction (other): Pinched nerve in shoulder from the injection is still limiting my range of motion

Release 8 — day 7, dose 2

2021-05-09

Systemic reaction (other): Left shoulder

Release 8 — day 28, dose 2

2021-05-30

Symptoms: Shoulder pain/ impingement from the vaccine site keeps recurring. Administering nurse probably placed the needle into my joint instead of my deltoid

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	Condition aggravated	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Throat clearing	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site joint movement impairment	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Nerve compression	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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