4J7-10643-22800

5 vaccinations 20 coded responses 38 check-ins 19 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 995 / AK
Registered: 2020-12-30

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches

Free text: In retrospect I wonder if the stiff shoulder neck area of last couple days was related to vaccine. It is better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness on left side of head, while seated. It went away, but felt unusual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Lymphadenopathy — Feeling: Good

Free text: I have occasional mildly swollen glands in my neck. I am strictly secluding and wonder if it might relate to the vaccine. It is not great cause for concern.I had a brief bout of diarrhea a couple days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 21, dose 1
MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Do not know if this is related, but on 3 different days I had a feeling of having been punched in the upper back. Once it caused me to lay down before finishing getting ready for bed. But mostly, if I took it easy for a bit it went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Peripheral swelling — Feeling: Good · Site: Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Right palm swollen & numb maybe from chopping root vegetables, but odd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 21, dose 2
MedDRA: Carpal tunnel syndrome, Condition aggravated, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Flare of carpal tunnel I did not realize I had. Very painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 28, dose 2
MedDRA: Carpal tunnel syndrome, Condition aggravated, Pre-existing disease, Pruritus — Feeling: Good · Be unable to do your normal daily activities

Free text: The carpal tunnel flare is still bad. Icing, wearing hard brace day, soft brace night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 42, dose 2
MedDRA: Ear congestion, Ear pain, Office visit, Self-medication — Feeling: Fair · 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: Developed painful earache last Friday despite seeing no one but my husband. Saw doc 2x. Taking decongestant to unplug ear and using prescription nasal spray.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
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)
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-29
Survey response — day 21, dose 3
MedDRA: Arthralgia, Headache, Pain in extremity, Pyrexia — Feeling: Good

Free text: I was just looking for a place to report that the first 2 vaccinations I barely felt anything, but the 3rd I clearly was building a defense (sore arm, fever, headache, joint aches.) Whew! :-)

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 28, dose 3
MedDRA: Arthralgia, Pre-existing disease, Self-medication, Tendonitis — Feeling: Good

Free text: Tendinitis of wrists, feeling of getting slugged in back, sore left shoulder (the one that had surgery a few years ago. Took Advil & slept better.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue — Feeling: Good

Free text: Sore shoulder and tired.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 42, dose 3
MedDRA: Pain, Pain in jaw, Self-medication — Feeling: Fair

Free text: Sore left jaw with stinging. Taking Advil. Helps. Still able to walk my 3 miles.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-25
Call 1 — Left Voicemail
2022-03-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-04-15
Survey response — day 14, dose 4
MedDRA: Hernia repair — Feeling: Fair

Free text: Had to have hernia surgery yesterday.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-28
Survey response — day 28, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just a bit of a post abdominal surgery relapse from not resting enough.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-30
Survey response — 3 months, dose 4
MedDRA: Chills, Decreased appetite, Diarrhoea, Fatigue, Hypoaesthesia, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: On Evening of June 22 I suddenly lost appetite during dinner. I got chills, felt achey all over, then diarrhea & fatigue. I took 3 rapid tests that were negative, but since I still felt bum finally went for a PCR test, which was neg., but days late.

MedDRA releases: 2024-11 · check-in free text available
2022-09-07
Dose 5 — Moderna
Co-administered: Flu
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-23
Survey response — day 14, dose 5
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Arthritis flare in hands. I have requested an appointment with a rheumatologist after not seeing one for years since my last one retired.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 21, dose 5
MedDRA: Arthritis, Chest discomfort, Chest pain, Pre-existing disease, Unevaluable event — 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: Hand arthritis flare continues. Chest pain for about 45 seconds above sternum. Felt it in last month and odd sensation. Probably nothing. Once i was in bed at night and once i was sitting and watching TV. · Healthcare visit (other): Also awaiting rheumatology referral.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-30
Call 2 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 42, dose 5
MedDRA: Body temperature increased, Increased upper airway secretion, Oropharyngeal pain, Respiratory tract congestion, Respiratory tract infection viral, SARS-CoV-2 test negative — Feeling: Fair

Free text: Virus-like, mild, respiratory M-today (friday). Some phlem in throat & lungs. Mild sore throat occasionally. Fever 99.7. I wore a mask and stayed away fromothers. Tested negative for COViD twice although I mask everywhere, even outdoors if near.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — 3 months, dose 5
MedDRA: Bone pain, Hypersensitivity, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very painful navicular bone area in foot. Becames allergic to socks & checking out symptoms with rheumatologist since I have an appointment schedules anyway.

MedDRA releases: 2024-11 · check-in free text available
2023-03-08
Survey response — 6 months, dose 5
MedDRA: Diarrhoea, Fatigue, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech
3	2021-09-08	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	No
5	2022-09-07	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): In retrospect I wonder if the stiff shoulder neck area of last couple days was related to vaccine. It is better today.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Dizziness on left side of head, while seated. It went away, but felt unusual.

Release 2 — day 14, dose 1

2021-01-15

Symptoms: I have occasional mildly swollen glands in my neck. I am strictly secluding and wonder if it might relate to the vaccine. It is not great cause for concern.I had a brief bout of diarrhea a couple days ago.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Do not know if this is related, but on 3 different days I had a feeling of having been punched in the upper back. Once it caused me to lay down before finishing getting ready for bed. But mostly, if I took it easy for a bit it went away.

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): Right palm swollen & numb maybe from chopping root vegetables, but odd.

Release 4 — day 21, dose 2

2021-02-13

Symptoms: Flare of carpal tunnel I did not realize I had. Very painful.

Release 4 — day 28, dose 2

2021-02-19

Symptoms: The carpal tunnel flare is still bad. Icing, wearing hard brace day, soft brace night.

Release 5 — day 42, dose 2

2021-03-05

Symptoms: Developed painful earache last Friday despite seeing no one but my husband. Saw doc 2x. Taking decongestant to unplug ear and using prescription nasal spray.

Release 9 — day 21, dose 3

2021-09-29

Symptoms: I was just looking for a place to report that the first 2 vaccinations I barely felt anything, but the 3rd I clearly was building a defense (sore arm, fever, headache, joint aches.) Whew! :-)

Release 10 — day 28, dose 3

2021-10-07

Symptoms: Tendinitis of wrists, feeling of getting slugged in back, sore left shoulder (the one that had surgery a few years ago. Took Advil & slept better.

Release 10 — day 35, dose 3

2021-10-13

Symptoms: Sore shoulder and tired.

Release 10 — day 42, dose 3

2021-10-20

Symptoms: Sore left jaw with stinging. Taking Advil. Helps. Still able to walk my 3 miles.

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Had to have hernia surgery yesterday.

Release 11 — day 28, dose 4

2022-04-28

Symptoms: Just a bit of a post abdominal surgery relapse from not resting enough.

Release 12 — 3 months, dose 4

2022-06-30

Symptoms: On Evening of June 22 I suddenly lost appetite during dinner. I got chills, felt achey all over, then diarrhea & fatigue. I took 3 rapid tests that were negative, but since I still felt bum finally went for a PCR test, which was neg., but days late. cut off by CDC

Release 12 — day 14, dose 5

2022-09-23

Symptoms: Arthritis flare in hands. I have requested an appointment with a rheumatologist after not seeing one for years since my last one retired.

Release 12 — day 21, dose 5

2022-09-29

Symptoms: Hand arthritis flare continues. Chest pain for about 45 seconds above sternum. Felt it in last month and odd sensation. Probably nothing. Once i was in bed at night and once i was sitting and watching TV.

Healthcare visit (other): Also awaiting rheumatology referral.

Release 12 — day 42, dose 5

2022-10-21

Symptoms: Virus-like, mild, respiratory M-today (friday). Some phlem in throat & lungs. Mild sore throat occasionally. Fever 99.7. I wore a mask and stayed away fromothers. Tested negative for COViD twice although I mask everywhere, even outdoors if near.

Release 12 — 3 months, dose 5

2022-12-07

Symptoms: Very painful navicular bone area in foot. Becames allergic to socks & checking out symptoms with rheumatologist since I have an appointment schedules anyway.

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Back pain	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Bone pain	·	·	✓
SD	Carpal tunnel syndrome	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear congestion	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hernia repair	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Tendonitis	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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