4BS-51049-07656

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 115 / NY
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
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
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Musculoskeletal pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: I have chronic musculoskeletal pain from arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Back to baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains · Be unable to work

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: An increase from my baseline arthralgias, enthesitis, myalgias and fatigue for the past 4-5 days. I have psoriatic arthritis and do have some pain daily but it's worse than usual and don't have a reason for it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: C-reactive protein increased, Pain, Pre-existing disease, Psoriatic arthropathy, Red blood cell sedimentation rate increased — Feeling: Fair · Be unable to work or attend school, 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: My chronic autoimmune condition(Psoriatic Arthritis) worsened with increased pain and marked increase in blood inflammatory markers(ESR & CRP). Slowly improving over the past few weeks. The vaccine may have triggered my immune system nonspecifically.

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Pfizer-BioNTech
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Psoriasis — Feeling: Fair · Be unable to work or attend school

Free text: My psoriasis has flared as has my inflammatory arthritis

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): I have chronic musculoskeletal pain from arthritis

2021-03-30

Systemic reaction (other): Back to baseline

2021-04-01

Systemic reaction (other): Baseline

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): Baseline

Release 8 — day 21, dose 2

2021-05-08

Symptoms: An increase from my baseline arthralgias, enthesitis, myalgias and fatigue for the past 4-5 days. I have psoriatic arthritis and do have some pain daily but it's worse than usual and don't have a reason for it

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: My chronic autoimmune condition(Psoriatic Arthritis) worsened with increased pain and marked increase in blood inflammatory markers(ESR & CRP). Slowly improving over the past few weeks. The vaccine may have triggered my immune system nonspecifically. cut off by CDC

Release 10 — day 14, dose 3

2021-11-03

Symptoms: My psoriasis has flared as has my inflammatory arthritis

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	C-reactive protein increased	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	·	·	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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