3U4-53437-75417

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 497 / MI
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Impaired work ability — Feeling: Fair · Site: Pain · Headache

Free text: Mild headache I can work but it slows me down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: I keep getting headaches every day. My back and left hip are sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chills, Feeling cold, Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: The back side of my left knee hurts worse every day. I had one day that I was feeling good at all. I had a slight fever and a terrible headache. And chills all day. I have been cold every day also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Arthralgia, Headache, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: I get headaches everyday. And the back of my left knee still hurts everyday. I found a spot on my shoulder that itches and is not going away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Bursitis, Synovial cyst — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I have developed Suprapatellar bursitis and a Bakers cyst in my left knee. I am not sure if this has anything to do with the vaccine or not. Just making you aware.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Could Not Reach Participant
2021-06-16
Call 2 — Could Not Reach Participant
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Oedema peripheral, Office visit, Pulmonary thrombosis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: I have developed Blood clots in my lungs. I am having terrible pain in my knees and shoulders. I have a lot of fluid in my left knee. I have gone for MRIs and ct scans. I would like someone to call me. (b)(6) · Healthcare visit (other): Primary doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Could Not Reach Participant
2021-08-10
Call 2 — Could Not Reach Participant
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Arthropathy, Knee operation, Office visit, Pulmonary thrombosis — Feeling: Good · 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: I developed blood clots in my lungs. And had knee surgery. I am also having some issues with my left shoulder. · Healthcare visit (other): I also saw my primary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech

Call center

4 call center cases

3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Mild headache I can work but it slows me down.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: I keep getting headaches every day. My back and left hip are sore.

Release 4 — day 21, dose 2

2021-02-17

Symptoms: The back side of my left knee hurts worse every day. I had one day that I was feeling good at all. I had a slight fever and a terrible headache. And chills all day. I have been cold every day also.

Release 5 — day 35, dose 2

2021-03-03

Symptoms: I get headaches everyday. And the back of my left knee still hurts everyday. I found a spot on my shoulder that itches and is not going away.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: I have developed Suprapatellar bursitis and a Bakers cyst in my left knee. I am not sure if this has anything to do with the vaccine or not. Just making you aware.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: I have developed Blood clots in my lungs. I am having terrible pain in my knees and shoulders. I have a lot of fluid in my left knee. I have gone for MRIs and ct scans. I would like someone to call me. (b)(6)

Healthcare visit (other): Primary doctor

redacted (b)(6)

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: I developed blood clots in my lungs. And had knee surgery. I am also having some issues with my left shoulder.

Healthcare visit (other): I also saw my primary doctor

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	Arthralgia	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Back pain	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Knee operation	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Pulmonary thrombosis	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Synovial cyst	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓

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