3WU-84629-41992

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 752 / TX
Registered: 2021-03-26

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Arthralgia, Hypersensitivity — Feeling: Fair

Free text: Allergies and my left shoulder is sore, but not directly at injection site. I dont think is related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Diverticulitis — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: I also have diverticulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Diverticulitis, Feeling abnormal, Induration, Neck mass, Neck pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: There is a hard painful lump located where my neck meets my shoulder. Am guessing swollen lymph node? Also i have diverticulitis right now that contributes to my physical misery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Neck mass, Neck pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: The lump where my neck and shoulder meets feels slightly bigger and more sore today. Still being medicated for diverticulitis so symptoms may mix.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Clostridium difficile colitis, Diverticulitis, Neck mass, Neck pain, Nodule, Pre-existing disease — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Painful lump where my neck meets shoulder still there, no change. Already have diverticulitis. May have c-diff again and being tested for it. Woohoo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Mass, Pain, Pre-existing disease — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have diverticulitis and am being tested for c-diff, which is likely where most symptoms are from. I still have that painful marble size lump where my neck meets shoulder :(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have diverticulitis and am being tested for c-diff. Those are likely causing the symptoms. I still have that lump where my neck meets shoulder but it is not as painful as it was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Been very dizzy past 24 hours, dont know why. Don't know if related to vaccine or something else. Haven't been dizzy like this in some time. It is not pleasant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Diverticulitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just another diverticulitis attack. Most likely unrelated. · Healthcare visit (other): Antibiotic prescription

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-12
Call 1 — Could Not Reach Participant
2021-11-17
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Allergies and my left shoulder is sore, but not directly at injection site. I dont think is related to the vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I also have diverticulitis

2021-04-17

Systemic reaction (other): There is a hard painful lump located where my neck meets my shoulder. Am guessing swollen lymph node? Also i have diverticulitis right now that contributes to my physical misery.

2021-04-18

Systemic reaction (other): The lump where my neck and shoulder meets feels slightly bigger and more sore today. Still being medicated for diverticulitis so symptoms may mix.

2021-04-19

Systemic reaction (other): Painful lump where my neck meets shoulder still there, no change. Already have diverticulitis. May have c-diff again and being tested for it. Woohoo.

2021-04-20

Systemic reaction (other): I have diverticulitis and am being tested for c-diff, which is likely where most symptoms are from. I still have that painful marble size lump where my neck meets shoulder :(

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): I have diverticulitis and am being tested for c-diff. Those are likely causing the symptoms. I still have that lump where my neck meets shoulder but it is not as painful as it was.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Been very dizzy past 24 hours, dont know why. Don't know if related to vaccine or something else. Haven't been dizzy like this in some time. It is not pleasant.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Just another diverticulitis attack. Most likely unrelated.

Healthcare visit (other): Antibiotic prescription

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	Arthralgia	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SRO	Clostridium difficile colitis	○	✓	○
SRO	Diverticulitis	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nodule	○	✓	○
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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