4NF-29647-08310

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 900 / CA
Registered: 2020-12-30

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

Timeline

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

2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-30
Registered in v-safe
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Shoulder pain (but this is an intermittent pain since Juneâ€”prior to first dose)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — day 21, dose 1
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening joint pain (this is intermittent and onset was prior to vaccine). Joint pain etiology is unknown, possibly autoimmune.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Decreased appetite, Injection site urticaria, Myalgia, Pyrexia, Urticaria — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Not today, but After the injection, I had fever chills,fatigue, global joint pain, upper body myalgia, hives (injection site and upper back), loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 2
MedDRA: Autoimmune disorder — Feeling: Fair · Joint pains, Diarrhea

Free text: Again, autoimmune conditions contribute to the above

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

Adult check-in
2021-02-11
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic intermittent right shoulder pain...frequency and intensity is increased since the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Cough, Exposure to SARS-CoV-2, Headache, Oropharyngeal pain — Feeling: Good

Free text: Last week 1 day of headaches, cough, sore throat. Symptoms only lasted a day and showed up the day after negative results post positive COVID exposure.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-02
Survey response — 12 months, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for Covid today. I had been testing negative everyday for the week prior even whilst having symptoms for two days: fever, chills, body aches, fatigue, headache, sore throat, cough, sneeze, runny nose

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Shoulder pain (but this is an intermittent pain since Juneâ€”prior to first dose)

Release 2 — day 21, dose 1

2021-01-19

Symptoms: Worsening joint pain (this is intermittent and onset was prior to vaccine). Joint pain etiology is unknown, possibly autoimmune.

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Not today, but After the injection, I had fever chills,fatigue, global joint pain, upper body myalgia, hives (injection site and upper back), loss of appetite.

Release 2 — day 7, dose 2

2021-01-28

Systemic reaction (other): Again, autoimmune conditions contribute to the above

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Chronic intermittent right shoulder pain...frequency and intensity is increased since the second dose.

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: Last week 1 day of headaches, cough, sore throat. Symptoms only lasted a day and showed up the day after negative results post positive COVID exposure.

Release 12 — 12 months, dose 3

2022-10-02

Symptoms: I tested positive for Covid today. I had been testing negative everyday for the week prior even whilst having symptoms for two days: fever, chills, body aches, fatigue, headache, sore throat, cough, sneeze, runny nose

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Unevaluable event	○	○	○
SRO	Arthralgia	✓	✓	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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