3TY-28964-34703

3 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 721 / AR
Registered: 2021-01-09

Relationship: Self
Race: White
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

2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-09
Registered in v-safe
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Upon injection, I had intense pain between my shoulder blades that went away. I have an aortic ascending aneurysm too and that is a pain they said to watch out for.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Immediate post-injection reaction — Feeling: Good · Site: Pain · Muscle or body aches

Free text: I had immediate pain between my shoulder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Leg pain in left calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Neck pain — Feeling: Poor · Headache, Muscle or body aches, Nausea, Diarrhea

Free text: Pain in upper shoulders, between shoulder blades and bottom if neck too

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My eyes hurt very bad and so does my necj

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Balance disorder, Dizziness, Dysstasia, Fatigue, Sitting disability — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme dizziness with fatigue. Difficult to stand up or sit up. I feel like i am goung to pass out. My legs are wobbly. My entire body is so weak. Wondering if my mom should take me to the doctor.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — day 7, dose 3
MedDRA: Dizziness postural, Headache — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Dizzy when bending and standing, causes headache.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Injection site pain, Neuralgia, Pain — Feeling: Good

Free text: My arm hurts where I got my injection when I lift it up and out to my side. It feels like a nerve. I was thinking it would go away, but it has not. Otherwise, it's fine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Extremely tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — 3 months, dose 3
MedDRA: Alcohol intolerance, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intolerance to alcohol. Not sure if it's related, but I can't drink a glass of wine without getting sick.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Upon injection, I had intense pain between my shoulder blades that went away. I have an aortic ascending aneurysm too and that is a pain they said to watch out for.

2021-01-13

Systemic reaction (other): I had immediate pain between my shoulder blades

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): Leg pain in left calf

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Pain in upper shoulders, between shoulder blades and bottom if neck too

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): My eyes hurt very bad and so does my necj

2021-11-01

Systemic reaction (other): Extreme dizziness with fatigue. Difficult to stand up or sit up. I feel like i am goung to pass out. My legs are wobbly. My entire body is so weak. Wondering if my mom should take me to the doctor.

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Dizzy when bending and standing, causes headache.

Release 10 — day 14, dose 3

2021-11-12

Symptoms: My arm hurts where I got my injection when I lift it up and out to my side. It feels like a nerve. I was thinking it would go away, but it has not. Otherwise, it's fine.

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Extremely tired

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: Intolerance to alcohol. Not sure if it's related, but I can't drink a glass of wine without getting sick.

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	Alcohol intolerance	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site pain	·	·	✓
SD	Malaise	·	·	✓
SD	Neuralgia	·	·	✓
SD	Pain	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dizziness postural	·	·	✓
SRO	Dysstasia	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Musculoskeletal pain	○	○	○
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sitting disability	·	·	✓

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