3UG-15624-56911

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 937 / CA
Registered: 2021-04-07

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Fair · Headache, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Side of my neck swelled going down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: It from injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Gait disturbance, Joint swelling, Neck mass, Pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I have a little bump on the left side of my neck my knees are swollen in the front it hurts to walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Dose 2 — Pfizer-BioNTech
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 28, dose 2
MedDRA: Memory impairment, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aching sore memories real bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Amnesia, Memory impairment — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A lot of memory loss a lot of forgetfulness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Memory impairment, Neuralgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My joints hurt real bad like a nerve or something all the way from my neck down my back just hasnt been right and my memory is really messed up so dont know if it has anything to do with that · Healthcare visit (other): Still waiting to be seen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Call 1 — Left Voicemail
2022-05-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Side of my neck swelled going down

2021-04-13

Systemic reaction (other): It from injection

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): I have a little bump on the left side of my neck my knees are swollen in the front it hurts to walk

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Aching sore memories real bad

Release 9 — day 42, dose 2

2021-06-16

Symptoms: A lot of memory loss a lot of forgetfulness

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: My joints hurt real bad like a nerve or something all the way from my neck down my back just hasnt been right and my memory is really messed up so dont know if it has anything to do with that

Healthcare visit (other): Still waiting to be seen

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	Unevaluable event	✓	·	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Memory impairment	✓	✓	✓
SD	Neuralgia	✓	·	✓
SD	Pain	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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