46L-17137-91158

5 vaccinations 18 coded responses 45 check-ins 18 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 492 / MI
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: None related to vaccination. I have pain everyday so it does not apply here. Chronic pain from cervical to sacral and radiates to extremities. Thank You

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pains & fatigue are normal for me. And concerned of Father affects emotions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These symptoms are not related to vaccine. Ongoing Chronic Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Oxygen level low. Medical conditions are not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms above are more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Ongoing Chronic Pain, barometer pressure is a factor also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Ongoing chronic pain

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

Free text: Usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Yardwork started. 5 minutles active, 5 minutes rest. Sweeping, pulling weeds. Needed help raking old mulch. Yard is only 9' x9'. Felt awesome being outdoors but now every nerve in my body is raging.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Resting today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Back pain, Chronic obstructive pulmonary disease, Cough, Dysphagia, Dyspnoea, Headache, Neck pain, Oropharyngeal pain, Pre-existing disease, Sneezing — Feeling: Poor · Be unable to work, 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: COPD flair. Dif breathing, sob, coughing & sneezing, sore throat, dif swallowing (poss thrush), headaches and as usual extreme back & neck pain. Appointment with RN at Pulmonary Clinic tomorrow morning. Thank you for asking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, 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)
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: COPD has become more troublesome. I selected yes but copd is not new.Wanted to update my history here with physical pain. I finished clearing out my Father's house on June 30th. Had been working on it & my own apartment for five weeks since May 23rd · Healthcare visit (other): Psychiatric and Primary Care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-16
Dose 3 — Pfizer-BioNTech
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-12
Survey response — day 7, dose 4
MedDRA: Pyrexia — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The fever was 24 hrs & broke last night

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 14, dose 4
MedDRA: Abdominal pain upper, Brain fog, Diarrhoea, Lethargy, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 5/7 thru 5/15 lethargy, nausea, fever 100.4 more than 24hrs beginning 5/10, stomach pain & diarrhea 5/12 to 5/14, severe body aches, brain fog. Was around my housecleaner, Kevin, who verified he was I'll and his Father (my neighbor) tested positive.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-01
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-02
Survey response — 6 months, dose 4
MedDRA: Back pain, Physiotherapy, Spinal operation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back surgery Oct 4th was a success. Had a cortisone injection 3 weeks prior to surgery and another one yesterday, Nov 1st. This morning was first where I had ZERO pain in 2 years. Physical therapy at home. Answers below are per recovery period.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-05
Survey response — days 1–6 daily, dose 5
MedDRA: Chronic obstructive pulmonary disease, Cough, Hyperhidrosis, Pre-existing disease — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms contributed to COPD, cough diagnosis & put on antibiotics 4 days ago. Sweating sickness out (?) Plus double vaccination ( flu & covid ) Also post surgical recovery, 1 month ago

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — days 1–6 daily, dose 5
MedDRA: Asthenia, Chronic obstructive pulmonary disease, Surgery — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms due to previously reported. COPD & post surgery. Feel really drained.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 7, dose 5
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-15
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-29
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-08
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-13
Survey response — day 42, dose 5
MedDRA: Chronic obstructive pulmonary disease, Dry throat, Hypopnoea, Illness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: COPD - have doctor's appt tomorrow 12/14. Dry throat Very shallow breathing · Healthcare visit (other): Last month had to cancel lung screening due to illness

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-31
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-02
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-12-16	Pfizer-BioNTech	No
4	2022-05-04	Pfizer-BioNTech	No
5	2022-11-01	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): None related to vaccination. I have pain everyday so it does not apply here. Chronic pain from cervical to sacral and radiates to extremities. Thank You

2021-03-21

Systemic reaction (other): Pains & fatigue are normal for me. And concerned of Father affects emotions.

2021-03-22

Systemic reaction (other): These symptoms are not related to vaccine. Ongoing Chronic Pain

2021-03-23

Systemic reaction (other): Oxygen level low. Medical conditions are not related to vaccine.

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Symptoms above are more than usual

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Ongoing Chronic Pain, barometer pressure is a factor also

2021-04-10

Systemic reaction (other): Ongoing chronic pain

2021-04-11

Systemic reaction (other): Usual

2021-04-13

Systemic reaction (other): Yardwork started. 5 minutles active, 5 minutes rest. Sweeping, pulling weeds. Needed help raking old mulch. Yard is only 9' x9'. Felt awesome being outdoors but now every nerve in my body is raging.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Resting today

Release 8 — day 42, dose 2

2021-05-19

Symptoms: COPD flair. Dif breathing, sob, coughing & sneezing, sore throat, dif swallowing (poss thrush), headaches and as usual extreme back & neck pain. Appointment with RN at Pulmonary Clinic tomorrow morning. Thank you for asking.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: COPD has become more troublesome. I selected yes but copd is not new.Wanted to update my history here with physical pain. I finished clearing out my Father's house on June 30th. Had been working on it & my own apartment for five weeks since May 23rd cut off by CDC

Healthcare visit (other): Psychiatric and Primary Care

Release 11 — day 7, dose 4

2022-05-12

Systemic reaction (other): The fever was 24 hrs & broke last night

Release 11 — day 14, dose 4

2022-05-18

Symptoms: 5/7 thru 5/15 lethargy, nausea, fever 100.4 more than 24hrs beginning 5/10, stomach pain & diarrhea 5/12 to 5/14, severe body aches, brain fog. Was around my housecleaner, Kevin, who verified he was I'll and his Father (my neighbor) tested positive. cut off by CDC

Release 12 — 6 months, dose 4

2022-11-02

Symptoms: Back surgery Oct 4th was a success. Had a cortisone injection 3 weeks prior to surgery and another one yesterday, Nov 1st. This morning was first where I had ZERO pain in 2 years. Physical therapy at home. Answers below are per recovery period.

Release 12 — days 1–6 daily, dose 5

2022-11-05

Systemic reaction (other): Symptoms contributed to COPD, cough diagnosis & put on antibiotics 4 days ago. Sweating sickness out (?) Plus double vaccination ( flu & covid ) Also post surgical recovery, 1 month ago

2022-11-06

Systemic reaction (other): Symptoms due to previously reported. COPD & post surgery. Feel really drained.

Release 12 — day 42, dose 5

2022-12-13

Symptoms: COPD - have doctor's appt tomorrow 12/14. Dry throat Very shallow breathing

Healthcare visit (other): Last month had to cancel lung screening due to illness

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	Illness	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dry throat	·	·	✓
SD	Dysphagia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypopnoea	·	·	✓
SD	Lethargy	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Spinal operation	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Chronic obstructive pulmonary disease	·	·	✓
SRO	Cough	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Surgery	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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