43A-11099-33345

4 vaccinations 13 coded responses 44 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 761 / TX
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains

Free text: Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — day 7, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Joint pains

Free text: I have rheumatoid arthritis assume r/t pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-26
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness

Free text: Ears are ringing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Rheumatoid arthritis — Feeling: Good · Joint pains

Free text: I have rheumatoid arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Inflammation, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Excessive inflammation in right shoulder and right hand. Slight inflammation to left hand. Probable R/T previous dx RA , type 1 diabetes, right rotator cuff repair and 66 years old. I really want you to keep sending me these updates. I am an RN.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-04
Call 2 — Could Not Reach Participant
2021-08-09
Call 3 — Could Not Reach Participant
2021-08-25
Dose 3 — Pfizer-BioNTech
2021-08-25
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-08
Survey response — day 14, dose 3
MedDRA: Arthralgia, Cough, Dyspnoea, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bad cough/congestion short of breath on occasion possibly seasonal allergies. But not 100% sure. Joints ache/pain bad especially in larger joints and hands. Considering possibly taking a COVID test

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-22
Survey response — day 28, dose 3
MedDRA: Arthritis, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling and inflammation to joints

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-12
Dose 4 — Pfizer-BioNTech
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-18
Survey response — days 1–6 daily, dose 4
MedDRA: Oral mucosal erythema, Stomatitis — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mouth redness with a few sores

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — day 7, dose 4
MedDRA: Stomatitis — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Inside of mouth raw

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 21, dose 4
MedDRA: Arthritis — Feeling: Fair · Be unable to work or attend school, 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: Inflammation in joints

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call X — Left Voicemail
2022-11-07
Call 2 — Left Voicemail
2023-01-11
Survey response — 3 months, dose 4
MedDRA: COVID-19, Hospitalisation, Malaise, Obstructive airways disorder, Respiratory disorder — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-12
Survey response — 6 months, dose 4
MedDRA: Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-13
Call 1 — Left Voicemail
2023-04-13
Call 1 — Left Voicemail
2023-04-13
Call 1 — Left Voicemail
2023-04-13
Callback requested for

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech
3	2021-08-25	Pfizer-BioNTech	No
4	2022-10-12	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): No

2021-01-10

Systemic reaction (other): Rheumatoid Arthritis

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): I have rheumatoid arthritis assume r/t pain

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): Ears are ringing.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): I have rheumatoid arthritis

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Excessive inflammation in right shoulder and right hand. Slight inflammation to left hand. Probable R/T previous dx RA , type 1 diabetes, right rotator cuff repair and 66 years old. I really want you to keep sending me these updates. I am an RN.

Release 9 — day 14, dose 3

2021-09-08

Symptoms: Bad cough/congestion short of breath on occasion possibly seasonal allergies. But not 100% sure. Joints ache/pain bad especially in larger joints and hands. Considering possibly taking a COVID test

Release 9 — day 28, dose 3

2021-09-22

Symptoms: Swelling and inflammation to joints

Release 12 — days 1–6 daily, dose 4

2022-10-18

Systemic reaction (other): Mouth redness with a few sores

Release 12 — day 7, dose 4

2022-10-19

Systemic reaction (other): Inside of mouth raw

Release 12 — day 21, dose 4

2022-11-05

Symptoms: Inflammation in joints

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	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Inflammation	✓	·	✓
SD	Joint swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Obstructive airways disorder	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pulmonary mass	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Oral mucosal erythema	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓
SRO	Stomatitis	·	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	○	○	○

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