4FS-16809-48201

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 924 / CA
Registered: 2021-02-28

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I actually started feeling these symptoms yesterday. I have RA and I take Xeljanz XR. My RA is flaring now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Headache, Joint pains, Nausea

Free text: I have Rheumatoid Arthritis so Im not surprised that I have joint pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Its not on your form, but Ive been experiencing intermittent anxiety since Saturday Feb 27th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 35, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Its probably my RA, but my shoulders & knees are extremely inflamed and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Diarrhoea, Fatigue, Nausea — 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: Joints in knees and shoulders very painful. Diarrhea, nausea fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
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)
2021-06-24
Call successful
Does not wish to fill out VAERS report
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I caught RSV on a trip to visit family in Idaho on July 21st. I wore my mask the entire time. No one in Idaho wears masks or believes in vaccinations! Im still recovering from the effects of RSV.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call 1 — Left Voicemail
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): I actually started feeling these symptoms yesterday. I have RA and I take Xeljanz XR. My RA is flaring now.

2021-03-01

Systemic reaction (other): I have Rheumatoid Arthritis so Im not surprised that I have joint pains.

2021-03-02

Systemic reaction (other): Its not on your form, but Ive been experiencing intermittent anxiety since Saturday Feb 27th.

Release 7 — day 35, dose 2

2021-04-22

Symptoms: Its probably my RA, but my shoulders & knees are extremely inflamed and painful.

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Joints in knees and shoulders very painful. Diarrhea, nausea fatigue.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: I caught RSV on a trip to visit family in Idaho on July 21st. I wore my mask the entire time. No one in Idaho wears masks or believes in vaccinations! Im still recovering from the effects of RSV.

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	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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