3WW-81707-14905

3 vaccinations 10 coded responses 15 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 295 / SC
Registered: 2021-02-26

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: OA, RA, APLAS, SFN, Dysautonomia ,COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: ankle replacement surgery due to arthritis is pending for MARCH 11

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Usual daily complaints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Arthralgia, Hospitalisation, Injection site mass, Musculoskeletal stiffness, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stiff neck, shoulder and arm pain. Still have hard lump at injection site. Presently hospitalized for a broken ankle reconstruction surgery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: One week ago, I had a total ankle replacement. I have experienced a lot of pain and am taking Oxycodone. None of these symptoms are related to the COVID vaccine to the best of my knowledge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 35, dose 2
MedDRA: Contusion, Peripheral swelling, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I had a new cast put on my right leg. It is painful. I also torn the IT band in left ouser thigh. I have bruising on my left arm where vaccines were given and-two palpable bumps. · Healthcare visit (other): (b)(6) HOUSE CALLS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 42, dose 2
MedDRA: Pain in extremity — 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

Free text: Terrible leg pain post-op right ankle replacement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Abscess, Ankle arthroplasty, Back pain, Mobility decreased, Office visit, Pain in extremity, Physiotherapy, Pre-existing disease, Skin tightness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Decreased mobility due to total ankle replacement secondary to severe degenerative joint disease. Lower back pain. Iliotibial band pain, tightness and abscess on right side. · Healthcare visit (other): Pain management, rheumatologist, physical therapy, orthopedic surgeon

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
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)
2021-11-15
Dose 3 — Pfizer-BioNTech
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Asthenia, Back pain, COVID-19, Dysphagia, Faecaloma, Fatigue, Musculoskeletal stiffness, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Covid Omicron Positive 1/14/2022 Continue to have symptoms of stiff neck and shoulders, back pain, nausea and vomiting, fatigue and overall weakness. · Healthcare visit (other): Had upper endoscopy and colonoscopy due to fecal impaction and dysphagia 2/24/22

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-01
Call 1 — Left Voicemail
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Back pain, Inflammation, Office visit, Pre-existing disease, Urinary tract infection — Feeling: Fair · 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: Back pain from severe L5-S1 foraminal stenosis, moderate to severe inflammation, urinary tract infection. · Healthcare visit (other): Pain management center.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-11-16
Call 1 — Left Voicemail
2022-11-16
Call 2 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail
2022-11-16
Call 2 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): OA, RA, APLAS, SFN, Dysautonomia ,COPD

2021-03-01

Systemic reaction (other): ankle replacement surgery due to arthritis is pending for MARCH 11

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Usual daily complaints.

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Stiff neck, shoulder and arm pain. Still have hard lump at injection site. Presently hospitalized for a broken ankle reconstruction surgery.

Release 5 — day 21, dose 2

2021-03-18

Symptoms: One week ago, I had a total ankle replacement. I have experienced a lot of pain and am taking Oxycodone. None of these symptoms are related to the COVID vaccine to the best of my knowledge.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: I had a new cast put on my right leg. It is painful. I also torn the IT band in left ouser thigh. I have bruising on my left arm where vaccines were given and-two palpable bumps.

Healthcare visit (other): (b)(6) HOUSE CALLS

redacted (b)(6)

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Terrible leg pain post-op right ankle replacement.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Decreased mobility due to total ankle replacement secondary to severe degenerative joint disease. Lower back pain. Iliotibial band pain, tightness and abscess on right side.

Healthcare visit (other): Pain management, rheumatologist, physical therapy, orthopedic surgeon

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Covid Omicron Positive 1/14/2022 Continue to have symptoms of stiff neck and shoulders, back pain, nausea and vomiting, fatigue and overall weakness.

Healthcare visit (other): Had upper endoscopy and colonoscopy due to fecal impaction and dysphagia 2/24/22

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Back pain from severe L5-S1 foraminal stenosis, moderate to severe inflammation, urinary tract infection.

Healthcare visit (other): Pain management center.

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	Dysphagia	·	·	✓
HCVO	Faecaloma	·	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Physiotherapy	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abscess	✓	·	✓
SD	Ankle arthroplasty	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	·	✓
SD	Contusion	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site mass	✓	✓	✓
SD	Mobility decreased	✓	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin tightness	✓	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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