3SA-33988-20181

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 293 / SC
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Diarrhea

Free text: Muscle aches were yesterday pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches

Free text: Eyes sore but not red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Headache, Muscle or body aches

Free text: Soremess of arm and hand of opposite arm from from one where got shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — day 7, dose 1
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Have had fibromyalgia symptom flare-up since 2nd day after injection but a little better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 1
MedDRA: Body temperature increased, Condition aggravated, Fatigue, Fibromyalgia, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Continued to have fibromyalgia flare. Yesterday had what was probably an alergy attack with runny nose congestion fatigue and elevated temp but fine today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: The headache is much better than yesterday when I had severe pulsing pain in the back of my head that was scary and so debilitating I couldn't report

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Nausea

Free text: Although temperature was only 99 my normal is below 98

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-02-25
Survey response — day 7, dose 2
MedDRA: Pollakiuria — Feeling: Good · Site: Itching · Fever

Free text: Frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 14, dose 2
MedDRA: Diverticulitis, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Suspected diverticulitis,. Also arm where received shot still sore to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 21, dose 2
MedDRA: Diverticulitis, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still digestion problems like healing diverticulitis which got bad after 2nd shot. Unrelated, had planned oral surgery tooth extraction · Healthcare visit (other): Regular physician office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 21, dose 2
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)
2021-03-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Muscle aches were yesterday pm.

2021-01-30

Systemic reaction (other): Eyes sore but not red

2021-01-31

Systemic reaction (other): Soremess of arm and hand of opposite arm from from one where got shot

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Have had fibromyalgia symptom flare-up since 2nd day after injection but a little better today

Release 3 — day 14, dose 1

2021-02-10

Symptoms: Continued to have fibromyalgia flare. Yesterday had what was probably an alergy attack with runny nose congestion fatigue and elevated temp but fine today

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): The headache is much better than yesterday when I had severe pulsing pain in the back of my head that was scary and so debilitating I couldn't report

2021-02-21

Systemic reaction (other): Although temperature was only 99 my normal is below 98

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Frequent urination

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Suspected diverticulitis,. Also arm where received shot still sore to touch

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Still digestion problems like healing diverticulitis which got bad after 2nd shot. Unrelated, had planned oral surgery tooth extraction

Healthcare visit (other): Regular physician office

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	Body temperature increased	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Diverticulitis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	✓	✓	○
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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