53G-22482-00347

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 368 / AL
Registered: 2021-02-03

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Renal pain — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen glands in neck and kidney pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Sinus drainage, fatigue, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 21, dose 1
MedDRA: Chest pain, Dyspnoea, Fatigue, Headache, Lymphadenopathy, Pain, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus congestion, aches and pains, fatigue, headache, swollen glands, chest pain, difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 28, dose 1
MedDRA: COVID-19 — Feeling: Good · 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: Covid19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 28, dose 1
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)
2021-03-09
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Survey response — day 35, dose 2
MedDRA: Contusion, Neuropathy peripheral — 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: The neuropathy and discoloration of toes (purple-black seems to be worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-25
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Neuropathy peripheral — Feeling: Good · Be unable to do your normal daily activities

Free text: Neuropathy in toes and fingers, headaches, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-30
Dose 3 — Moderna
2022-02-02
Call 1 — Left Voicemail
2022-04-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-30
Survey response — 6 months, dose 3
MedDRA: Adverse drug reaction, Antinuclear antibody positive, Arthralgia, Autoimmune disorder, COVID-19, Contusion, Erythema, Gastric ulcer, Joint swelling, Large intestinal polypectomy, Peripheral swelling, Pre-existing disease, Red blood cell sedimentation rate increased, Self-medication — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Swelling in hands and especially feet and ankles, joint pain, ulcers stomach, pre-cancerous polyp removed from colon. Positive ANA and, Sed Rate positive. Refered to cardiologist and rheumatologist appointments 6-30, 7/5,Postcovid autoimmune disease · Healthcare visit (other): Endoscopy done colonoscopy done All the asprin that was pushed during Covid illness while I was iMobic gave me ulcers and no no longer able to take NSAIDS. Excessive bruising and redness and swelling in extremities

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Arthritis, Extracorporeal shock wave therapy, Gait disturbance, Inflammation, Mixed connective tissue disease, Office visit, Peripheral nerve neurostimulation, Physiotherapy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammation in legs and ankles and feet. Severe in left knee interfering with ability to walk. Mixed connective tissue diseases · Healthcare visit (other): Primary care doctor, Cardiologist, Neurologist, Rheumatologist, physical therapy with trigger point injections, plasma injection in knee, chiropractic care, shockwave therapy and E-Stim

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-01-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-12-30	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Swollen glands in neck and kidney pain

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Sinus drainage, fatigue, headaches

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Sinus congestion, aches and pains, fatigue, headache, swollen glands, chest pain, difficulty breathing

Release 4 — day 28, dose 1

2021-03-02

Symptoms: Covid19

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Severe acid reflux

Release 8 — day 35, dose 2

2021-05-29

Symptoms: The neuropathy and discoloration of toes (purple-black seems to be worse.

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: Neuropathy in toes and fingers, headaches, fatigue

Release 12 — 6 months, dose 3

2022-06-30

Symptoms: Swelling in hands and especially feet and ankles, joint pain, ulcers stomach, pre-cancerous polyp removed from colon. Positive ANA and, Sed Rate positive. Refered to cardiologist and rheumatologist appointments 6-30, 7/5,Postcovid autoimmune disease cut off by CDC

Healthcare visit (other): Endoscopy done colonoscopy done All the asprin that was pushed during Covid illness while I was iMobic gave me ulcers and no no longer able to take NSAIDS. Excessive bruising and redness and swelling in extremities

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: Inflammation in legs and ankles and feet. Severe in left knee interfering with ability to walk. Mixed connective tissue diseases

Healthcare visit (other): Primary care doctor, Cardiologist, Neurologist, Rheumatologist, physical therapy with trigger point injections, plasma injection in knee, chiropractic care, shockwave therapy and E-Stim

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	Adverse drug reaction	·	·	✓
HCVO	Contusion	·	·	✓
HCVO	COVID-19	·	·	✓
HCVO	Erythema	·	·	✓
HCVO	Extracorporeal shock wave therapy	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Peripheral nerve neurostimulation	·	·	✓
HCVO	Peripheral swelling	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Self-medication	·	·	✓
SD	Antinuclear antibody positive	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Autoimmune disorder	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Gastric ulcer	·	·	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Joint swelling	·	·	✓
SD	Large intestinal polypectomy	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mixed connective tissue disease	·	·	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SD	Sinus congestion	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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