3RC-12394-14452

5 vaccinations 16 coded responses 57 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 752 / TX
Registered: 2021-03-12

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

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Cough, Pyrexia, Rhinorrhoea, Sneezing, Wheezing — Feeling: Poor · Site: Pain, Swelling · 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: Sneezing, runny nose, upper respiratory cough starting, wheezing. I know my fever was mild 99.1 F, but my normal is 96.7 to 97.1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Dyspepsia, Fatigue, Gastrooesophageal reflux disease — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a couple of days of extremely bad heart burn/acid reflux. I do not think it was related to anything I ate, but Im not sure. 3/30 and 3/31 and major fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Abdominal distension, Dehydration, Epigastric discomfort, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: On Friday night 4/9 to Saturday morning 4/10 I experienced dehydration and major bloating and gastric discomfort. It could be related to my normal GI issues (IBS, lactose intolerance and biliary dyskinesia), but Im not sure, so Im listing it he

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 28, dose 2
MedDRA: Arthralgia, Eye pruritus, Pre-existing disease, Rhinorrhoea, Sensitivity to weather change — Feeling: Fair

Free text: Joint pain in knees and toes. Allergies are bothering me today (itchy eyes and runny nose). Its likely due to the weather where I am, but Im listing it since you all are compiling for research.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Back pain, Dyspepsia, Muscle spasms, Musculoskeletal pain, Office visit, Painful respiration — Feeling: Fair · 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: Symptoms: On Tues 4/20 I had sharp back pain in the middle of my spine and under my right shoulder blade. It hurt my back when I inhaled and moved. It felt like a combination of a muscle spasm and indigestion pain. · Healthcare visit (other): I was going to see my obgyn for something else, but I told her about this pain anyway. I only really noticed it since the vaccine. It might be unrelated, but...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
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)
2021-05-03
Survey response — day 42, dose 2
MedDRA: Muscle spasms, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Major muscle pain in my right forearm. My dominant arm. I could barely write and stretch it. It hurt for 2 days. Im still having back spasms. I didnt hurt my back. This started a month after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Malaise, Nausea — Feeling: Good

Free text: Ive had two months where 90% of what I eat makes me feel like Im going to throw up. I just went on vacation and didnt have that issue until I came back home again so it could be something in my house making me feel sick.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Nasal congestion, Paranasal sinus discomfort, Sneezing — Feeling: Fair

Free text: Nasal congestion, sneezing, sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Call 1 — Left Voicemail
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-07-24
Dose 4 — Moderna
2022-07-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2022-07-27
Survey response — days 1–6 daily, dose 4
MedDRA: Formication, Injection site reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Free text: Felt like a bug was crawling on my skin or like a hair was on my left arm injection site

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Survey response — days 1–6 daily, dose 4
MedDRA: Formication — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Still have the occasional sensation on my left arm injection arm that something is crawling on it.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-07-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-31
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-15
Survey response — day 21, dose 4
MedDRA: Injection site pain, Injection site reaction, Myalgia, Pain of skin — Feeling: Good

Free text: My arm is still sore at injection site. Not constant pain but if you touch my arm at injection site the muscle and skin is still sore.

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Survey response — day 28, dose 4
MedDRA: Brain fog, Fatigue, Injection site pain, Nasal congestion — Feeling: Poor

Free text: My muscle at the injection site is still sore. I've had nasal congestion, fatigue, foggy brain for the last 6 days or so.

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Survey response — day 35, dose 4
MedDRA: Injection site pain — Feeling: Fair

Free text: Arm site still sore to the touch.

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Survey response — day 42, dose 4
MedDRA: Injection site pain — Feeling: Fair

Free text: Injection site still sore

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — 3 months, dose 4
MedDRA: Aphonia, Brain fog, Fatigue, Mental impairment, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sputum discoloured — 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, Outpatient clinic or urgent care clinic visit

Free text: all covid-like symptoms but several home and pcr covid tests came back negative. Extreme Fatigue, fever, chest congestion, green mucus, foggy brain where I couldn't think straight, lost my voice.

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — 3 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-29
Dose 5 — Pfizer-BioNTech
2022-10-29
Health check-in — day 0, dose 5
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2022-11-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-11-05
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-30
Survey response — 3 months, dose 5
MedDRA: Arthralgia, COVID-19, Myalgia, Pain in extremity, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-30
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-31
Call successful
Does not wish to fill out VAERS report
2023-01-31
Call successful
Does not wish to fill out VAERS report
2023-01-31
Call successful
Does not wish to fill out VAERS report
2023-04-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No
4	2022-07-24	Moderna	No
5	2022-10-29	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Sneezing, runny nose, upper respiratory cough starting, wheezing. I know my fever was mild 99.1 F, but my normal is 96.7 to 97.1

Release 6 — day 14, dose 2

2021-04-05

Symptoms: I had a couple of days of extremely bad heart burn/acid reflux. I do not think it was related to anything I ate, but Im not sure. 3/30 and 3/31 and major fatigue.

Release 7 — day 21, dose 2

2021-04-12

Symptoms: On Friday night 4/9 to Saturday morning 4/10 I experienced dehydration and major bloating and gastric discomfort. It could be related to my normal GI issues (IBS, lactose intolerance and biliary dyskinesia), but Im not sure, so Im listing it he

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Joint pain in knees and toes. Allergies are bothering me today (itchy eyes and runny nose). Its likely due to the weather where I am, but Im listing it since you all are compiling for research.

Release 8 — day 35, dose 2

2021-04-26

Symptoms: On Tues 4/20 I had sharp back pain in the middle of my spine and under my right shoulder blade. It hurt my back when I inhaled and moved. It felt like a combination of a muscle spasm and indigestion pain.

Healthcare visit (other): I was going to see my obgyn for something else, but I told her about this pain anyway. I only really noticed it since the vaccine. It might be unrelated, but...

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Major muscle pain in my right forearm. My dominant arm. I could barely write and stretch it. It hurt for 2 days. Im still having back spasms. I didnt hurt my back. This started a month after the vaccine.

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Ive had two months where 90% of what I eat makes me feel like Im going to throw up. I just went on vacation and didnt have that issue until I came back home again so it could be something in my house making me feel sick.

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Nasal congestion, sneezing, sinus pressure

Release 12 — days 1–6 daily, dose 4

2022-07-27

Systemic reaction (other): Felt like a bug was crawling on my skin or like a hair was on my left arm injection site

2022-07-28

Systemic reaction (other): Still have the occasional sensation on my left arm injection arm that something is crawling on it.

Release 12 — day 21, dose 4

2022-08-15

Symptoms: My arm is still sore at injection site. Not constant pain but if you touch my arm at injection site the muscle and skin is still sore.

Release 12 — day 28, dose 4

2022-08-21

Symptoms: My muscle at the injection site is still sore. I've had nasal congestion, fatigue, foggy brain for the last 6 days or so.

Release 12 — day 35, dose 4

2022-08-30

Symptoms: Arm site still sore to the touch.

Release 12 — day 42, dose 4

2022-09-04

Symptoms: Injection site still sore

Release 12 — 3 months, dose 4

2022-10-23

Symptoms: all covid-like symptoms but several home and pcr covid tests came back negative. Extreme Fatigue, fever, chest congestion, green mucus, foggy brain where I couldn't think straight, lost my voice.

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	Office visit	✓	✓	✓
SD	Abdominal discomfort	✓	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Aphonia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Epigastric discomfort	○	✓	○
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Malaise	·	·	✓
SD	Mental impairment	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain of skin	·	·	✓
SD	Painful respiration	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sensitivity to weather change	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Formication	·	·	✓
SRO	Injection site reaction	·	·	✓
SRO	Pyrexia	✓	✓	○
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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