3WY-19003-74529

3 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 958 / CA
Registered: 2021-01-31

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Pfizer-BioNTech
2021-01-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: It could be something I ate. But I want to thank all who are involved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Survey response — day 14, dose 1
MedDRA: Neck pain — Feeling: Fair

Free text: Not sure, but my husband and I have had a pain in our necks. Right side, below the hairline in the back for a few days. He has had a headache. Which he never gets. Going to take an ibuprofen tonight to see if that helps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I have had the neck pain for a few weeks. Right back from the nape to the trapezius

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Self-medication — Feeling: Good · Muscle or body aches

Free text: Still stiffness in my neck. I put a warm poultice on it last night. A little better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Muscle or body aches

Free text: Still a pain in my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Muscle or body aches

Free text: I still have the right neck pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-28
Survey response — day 7, dose 2
MedDRA: Neck pain — Feeling: Good · Muscle or body aches

Free text: Still a pain in my neck. Right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 28, dose 2
MedDRA: Back pain, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had lower back pain for over a week. Suspected UTI. Doc did not respond. So I stopped by her office. Urine test showed 25,000- 50,000 bacteria in my urine. Took meds. Back still hurts. Neck still aches since 1st vaccination · Healthcare visit (other): walked into office and saw Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
2022-01-13
Call 1 — Left Voicemail
2022-02-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Survey response — 6 months, dose 3
MedDRA: Malaise, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: The end of a cruise. I was negative on the evening of 4/3/22. I got Covid symptoms on 4/4/22, I thought it was allergies. I tested positive 4/5/22 Tested negative 4/15/22. I was still positive at 7am 4/14/22. None of our family got sick. · Healthcare visit (other): we facetimed

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Survey response — 12 months, dose 3
MedDRA: COVID-19, Telemedicine — Feeling: Good · Be unable to do your normal daily activities

Free text: I got Covid 4/5 to 4/15. But it was very mild. I did contact my physician from Facetime. I just stayed home.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): It could be something I ate. But I want to thank all who are involved.

Release 4 — day 14, dose 1

2021-02-14

Symptoms: Not sure, but my husband and I have had a pain in our necks. Right side, below the hairline in the back for a few days. He has had a headache. Which he never gets. Going to take an ibuprofen tonight to see if that helps.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): I have had the neck pain for a few weeks. Right back from the nape to the trapezius

2021-02-23

Systemic reaction (other): Still stiffness in my neck. I put a warm poultice on it last night. A little better.

2021-02-24

Systemic reaction (other): Still a pain in my neck.

2021-02-25

Systemic reaction (other): I still have the right neck pain.

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Still a pain in my neck. Right side.

Release 6 — day 28, dose 2

2021-03-21

Symptoms: I have had lower back pain for over a week. Suspected UTI. Doc did not respond. So I stopped by her office. Urine test showed 25,000- 50,000 bacteria in my urine. Took meds. Back still hurts. Neck still aches since 1st vaccination

Healthcare visit (other): walked into office and saw Dr.

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: The end of a cruise. I was negative on the evening of 4/3/22. I got Covid symptoms on 4/4/22, I thought it was allergies. I tested positive 4/5/22 Tested negative 4/15/22. I was still positive at 7am 4/14/22. None of our family got sick.

Healthcare visit (other): we facetimed

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: I got Covid 4/5 to 4/15. But it was very mild. I did contact my physician from Facetime. I just stayed home.

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	✓	✓	✓
HCVO	Telemedicine	·	·	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Malaise	·	·	✓
SD	Neck pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Telemedicine	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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