3ZJ-12720-89967

4 vaccinations 8 coded responses 42 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 940 / CA
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Sleep disorder — Feeling: Good · Headache

Free text: Awakened from sleep 9 hours post vaccination with a severe muscle cramp in left calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Palpitations — Feeling: Good

Free text: Late entry: on the evening of vaccination, in addition to a very mild headache, I experienced several minutes of a pounding heartbeat, did not return since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 35, dose 2
MedDRA: Headache, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling in my fingers; headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Chest pain, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest, epigastric pain. Shortness of breath. Not cardiac or pulmonary related per MDs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-08-24
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — 3 months, dose 3
Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe right hip pain

Adult check-in · check-in free text available
2022-02-22
Survey response — 6 months, dose 3
MedDRA: Crohn's disease, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

Free text: Tested positive for COVID 12/28/21 Crohn's flare 1/25/22

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Dose 4 — Moderna
2022-06-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-03
Survey response — day 21, dose 4
MedDRA: Arthralgia, Joint instability — Feeling: Fair

Free text: Bilateral hip pain and hip joint instability

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-17
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-24
Survey response — day 42, dose 4
MedDRA: Arthralgia — Feeling: Fair

Free text: Bilateral hip pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-11
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Injection site pain — Feeling: Fair

Free text: Achy joints. ? Crohn's flare. Not likely d/t vaccine Persistent soreness at vaccination injection site, whenever I lay on my upper arm. Last booster 10/2022. Why the persistent soreness after vaccine booster??

MedDRA releases: 2024-11 · check-in free text available
2023-06-12
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-08-24	Pfizer-BioNTech	No
4	2022-06-12	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): Awakened from sleep 9 hours post vaccination with a severe muscle cramp in left calf

2020-12-25

Systemic reaction (other): Late entry: on the evening of vaccination, in addition to a very mild headache, I experienced several minutes of a pounding heartbeat, did not return since.

Release 4 — day 35, dose 2

2021-02-17

Symptoms: Swelling in my fingers; headache

Release 9 — 6 months, dose 2

2021-07-14

Symptoms: Chest, epigastric pain. Shortness of breath. Not cardiac or pulmonary related per MDs

Release 11 — 6 months, dose 3

2022-02-22

Symptoms: Tested positive for COVID 12/28/21 Crohn's flare 1/25/22

Release 12 — 3 months, dose 3

2021-11-23

Symptoms: Severe right hip pain

Release 12 — day 21, dose 4

2022-07-03

Symptoms: Bilateral hip pain and hip joint instability

Release 12 — day 42, dose 4

2022-07-24

Symptoms: Bilateral hip pain

Release 12 — 6 months, dose 4

2022-12-11

Symptoms: Achy joints. ? Crohn's flare. Not likely d/t vaccine Persistent soreness at vaccination injection site, whenever I lay on my upper arm. Last booster 10/2022. Why the persistent soreness after vaccine booster??

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
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Crohn's disease	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Joint instability	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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