4AM-36617-66954

4 vaccinations 8 coded responses 41 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 926 / CA
Registered: 2021-03-09

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

2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-09
Registered in v-safe
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Abnormal menstrual clots, Coagulopathy, Heavy menstrual bleeding, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very heavy menstrual cycle with a large amount of clotting and cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-10
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right shoulder joint is aching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder joint aches, I never had aching joints before the immunization. Not sure if its related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Pfizer-BioNTech
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Left shoulder joint aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder joint aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 28, dose 3
MedDRA: Condition aggravated, Hyperaesthesia teeth, Pre-existing disease, Toothache — Feeling: Fair

Free text: I've had an existing crown on a tooth ache and be sensitive since I got my booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 35, dose 3
MedDRA: Office visit, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Aching of a crown on my tooth. Dentist says nothing is wrong w it · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2021-12-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-17
Dose 4 — Pfizer-BioNTech
2022-08-17
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-08-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-08-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chromaturia — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: I've had dark colored urine for the past 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains

Adult check-in
2023-02-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech
3	2021-10-27	Pfizer-BioNTech	No
4	2022-08-17	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Very heavy menstrual cycle with a large amount of clotting and cramps

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Right shoulder joint is aching

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Shoulder joint aches, I never had aching joints before the immunization. Not sure if its related

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Left shoulder joint aches

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Shoulder joint aches

Release 10 — day 28, dose 3

2021-11-24

Symptoms: I've had an existing crown on a tooth ache and be sensitive since I got my booster.

Release 10 — day 35, dose 3

2021-12-04

Symptoms: Aching of a crown on my tooth. Dentist says nothing is wrong w it

Healthcare visit (other): Dentist

Release 12 — days 1–6 daily, dose 4

2022-08-20

Systemic reaction (other): I've had dark colored urine for the past 2 days

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	·	·	✓
SD	Abnormal menstrual clots	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Coagulopathy	○	✓	○
SD	Condition aggravated	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hyperaesthesia teeth	·	·	✓
SD	Muscle spasms	○	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Toothache	·	·	✓
SRO	Chromaturia	·	·	✓

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