52G-67449-01425

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 498 / MI
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme muscle back pain, and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — day 0, dose 2
MedDRA: Arthralgia, Chest pain, Pain in extremity, Vomiting — Feeling: Fair · Nausea, Abdominal pain

Free text: I have had chest pain and left should and arm pain for the last three days. Yesterday it was accompanied by vomiting. But Im not thinking it is related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Blisters on the roof of my mouth. But that could be my Lupus acting up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering — Feeling: Fair · Joint pains

Free text: Blisters on the roof of my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Mouth sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sores on the roof of B my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — day 14, dose 2
MedDRA: Arthralgia, Dyspnoea exertional, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, shortness of breath with moving around joint paint.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 28, dose 2
MedDRA: Muscle spasms, Stomatitis, Vomiting — 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

Free text: Severe muscle cramps in my legs. Mouth sores. Vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Survey response — day 42, dose 2
MedDRA: Fatigue, Muscle spasms, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, muscle spasms in my leg really bad. Nausea,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Dizziness, Hypoglycaemia, Office visit, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hypoglycemia, Dizzy spells, weight loss. · Healthcare visit (other): Office visits.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-05
Survey response — 12 months, dose 2
MedDRA: COVID-19, Emergency care, Pre-existing disease, Telemedicine — 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, Emergency room or emergency department visit

Free text: Symptoms: Even though I had gotten both of my Covid Pfizer Immunizations and the booster I contacted Covid at 65. The biologic drugs I am on left me immuno compromised. At the hospital I recieved rejuvenation. · Healthcare visit (other): After virtual visit my doctor sent me to the emergency room.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-02-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Headache

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Extreme muscle back pain, and joint pain.

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): I have had chest pain and left should and arm pain for the last three days. Yesterday it was accompanied by vomiting. But Im not thinking it is related to the vaccine.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Blisters on the roof of my mouth. But that could be my Lupus acting up.

2021-02-08

Systemic reaction (other): Blisters on the roof of my mouth.

2021-02-10

Systemic reaction (other): Mouth sores

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Sores on the roof of B my mouth

Release 4 — day 14, dose 2

2021-02-21

Symptoms: Extreme fatigue, shortness of breath with moving around joint paint.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Severe muscle cramps in my legs. Mouth sores. Vomiting

Release 6 — day 42, dose 2

2021-03-21

Symptoms: Extreme fatigue, muscle spasms in my leg really bad. Nausea,

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Hypoglycemia, Dizzy spells, weight loss.

Healthcare visit (other): Office visits.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Even though I had gotten both of my Covid Pfizer Immunizations and the booster I contacted Covid at 65. The biologic drugs I am on left me immuno compromised. At the hospital I recieved rejuvenation.

Healthcare visit (other): After virtual visit my doctor sent me to the emergency room.

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	Emergency care	·	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Telemedicine	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypoglycaemia	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Stomatitis	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	Weight decreased	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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