3SK-91165-11858

5 vaccinations 11 coded responses 54 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 209 / MD
Registered: 2021-01-29

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain · Be unable to do your normal daily activities

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Post-traumatic pain, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Old fracture site painful never bothered me after it healed. Painful when walking now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Fatigue l, sore throat, runny nose. Allergies?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-20
Dose 3 — Pfizer-BioNTech
2021-10-20
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · 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
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None · Be unable to work or attend school

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-11-04
Survey response — day 14, dose 3
MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder where I received the vaccine is still sore. Discomfort is like what I think arthritis would feel like.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 21, dose 3
MedDRA: Arthritis — Feeling: Good

Free text: Injection arm still feels like I've developed arthritis but has improved slightly.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 21, dose 4
MedDRA: Arthralgia, Musculoskeletal stiffness, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Spontaneous stiff and painful right shoulder joint. Hurts to move my arm . No injury or accident occurred.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 42, dose 4
MedDRA: Joint stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Experiencing NEW shoulder joint stiffness in the arm where I had my injections. ( boosters included).

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Dose 5 — Pfizer-BioNTech
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-04
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-11-13
Survey response — day 14, dose 5
MedDRA: Back pain, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, nausea, left lower back pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-27
Survey response — 3 months, dose 5
MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-30
Survey response — 6 months, dose 5
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-04-13	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Old fracture site painful never bothered me after it healed. Painful when walking now

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Fatigue

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Fatigue l, sore throat, runny nose. Allergies?

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Sore throat

Release 10 — day 14, dose 3

2021-11-04

Symptoms: Shoulder where I received the vaccine is still sore. Discomfort is like what I think arthritis would feel like.

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Injection arm still feels like I've developed arthritis but has improved slightly.

Release 11 — day 21, dose 4

2022-05-06

Symptoms: Spontaneous stiff and painful right shoulder joint. Hurts to move my arm . No injury or accident occurred.

Release 11 — day 42, dose 4

2022-05-27

Symptoms: Experiencing NEW shoulder joint stiffness in the arm where I had my injections. ( boosters included).

Release 12 — day 14, dose 5

2022-11-13

Symptoms: Headache, nausea, left lower back pain

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	Arthritis	·	·	✓
SD	Back pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Post-traumatic pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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