56H-17929-85667

5 vaccinations 22 coded responses 59 check-ins 20 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 241 / VA
Registered: 2021-01-30

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Site: Pain

Free text: Sore throat and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Physiotherapy — 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: Symptoms: Neck pain shoulder pain lower back pain probably nothing to with COVID · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
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)
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Arthropathy, Decreased appetite, Eczema, Muscle disorder, Phlebitis, Piriformis syndrome, Pre-existing disease, Sacroiliac joint dysfunction, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Body tremorsEczemaPhlebitis in both legsChronic anxietyTMJPiriformus syndromeRotated hip joint SI dysfunctionArthritis in fingers and hipExcessive muscle trigger points Loss of appetite

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 2 — Left Voicemail
2021-08-25
Call 3 — Left Voicemail
2021-08-25
Callback requested for
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Total loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Appetite still not good

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot, Reaction to previous exposure to any vaccine, Tremor — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Shakiness & heat & abdominal tremors while trying to sleep which disappear when I stand up and walk aroundthis also happened after vaccine #2 but not reported because I thought it was not relevant

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain

Free text: Night tremors in chest and abdomen and shakiness when trying to sleep

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain, Itching

Free text: Night tremors in chest & abdomen of body

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — day 7, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Night tremors continuing

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — day 14, dose 3
MedDRA: Arthritis, Temporomandibular joint syndrome — Feeling: Good · Be unable to do your normal daily activities

Free text: Inflammation in si joints and hips Inflammation in temporal jaw joints TMJ

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Survey response — day 21, dose 3
MedDRA: Rash, Reaction to previous exposure to any vaccine, Sleep disorder, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued night time body tremors which wake me up that started about 3 days after 2nd vaccine and now again after this booster Rash on both shins

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 2 — Left Voicemail
2021-10-30
Survey response — day 28, dose 3
MedDRA: Tremor, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continuing night tremors which also happened after the first 2 covid vaccinesI read vaccinations can triggers neurological issues so this must one..now on medication from a neurologist who says I have developed mild tremors so trying Clonesapam

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-03
Call 2 — Left Voicemail
2021-11-13
Survey response — day 42, dose 3
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash on both lower legs

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 2 — Left Voicemail
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Inflammation, Rash, Swelling, Tremor, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continued skin rashes & joint pain from inflammatory response to the vaccine · Healthcare visit (other): Every covid19 injection has caused inflammatory responses ie rashes & joint pain & swelling so prescriptions for steroids & voltaren gel & tremors

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-04-05
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Rash, Tremor — 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: Same as evepainful joints, rashes and tremorsespecially significant after Covid vaccine injection &continue to wane as the weeks go by You keep calling me on my cell which doesnt work for voice calls where I livecall land line (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call 2 — Left Voicemail
2022-07-30
Dose 4 — Pfizer-BioNTech
2022-08-01
Survey response — days 1–6 daily, dose 4
MedDRA: Chills — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Extreme shivering

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling, Muscle spasms — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: 1.5" hard swollen lump at injection site, red, itchy, muscle cramping in legs and back muscles continuing from injection day

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Decreased appetite, Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Myalgia, Taste disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Continuing severe joint & muscle pain using Voltaran gel plus injection site still has large lump red swollen itchy loss of appetite nothing tastes correct

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-08-06
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-08-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-28
Dose 5 — Pfizer-BioNTech
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Chills, Dyspnoea, Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Uncontrollable shivering teeth chattering?sleeplessness and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-11-06
Health check-in — day 7, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-11-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-05
Survey response — day 35, dose 5
MedDRA: Hip arthroplasty, Hip surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: I have just had a hip replacement surgery · Healthcare visit (other): Hip surgery

MedDRA releases: 2024-11 · check-in free text available
2022-12-05
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-12-06
Call 3 — Left Voicemail
2022-12-06
Call 3 — Left Voicemail
2022-12-06
Call 3 — Left Voicemail
2022-12-06
Call 2 — Left Voicemail
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-30
Survey response — 3 months, dose 5
MedDRA: Arthritis, Hip arthroplasty, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-30
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 2 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-01-31
Call 1 — Left Voicemail
2023-04-29
Survey response — 6 months, dose 5
MedDRA: Tinnitus — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No
4	2022-07-30	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	No

Call center

9 call center cases

9 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Sore throat and runny nose

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Neck pain shoulder pain lower back pain probably nothing to with COVID

Healthcare visit (other): Physical therapy

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Body tremorsEczemaPhlebitis in both legsChronic anxietyTMJPiriformus syndromeRotated hip joint SI dysfunctionArthritis in fingers and hipExcessive muscle trigger points Loss of appetite

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Total loss of appetite

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Appetite still not good

2021-10-06

Systemic reaction (other): Shakiness & heat & abdominal tremors while trying to sleep which disappear when I stand up and walk aroundthis also happened after vaccine #2 but not reported because I thought it was not relevant

2021-10-07

Systemic reaction (other): Night tremors in chest and abdomen and shakiness when trying to sleep

2021-10-08

Systemic reaction (other): Night tremors in chest & abdomen of body

Release 10 — day 7, dose 3

2021-10-09

Systemic reaction (other): Night tremors continuing

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Inflammation in si joints and hips Inflammation in temporal jaw joints TMJ

Release 10 — day 21, dose 3

2021-10-24

Symptoms: Continued night time body tremors which wake me up that started about 3 days after 2nd vaccine and now again after this booster Rash on both shins

Release 10 — day 28, dose 3

2021-10-30

Symptoms: Continuing night tremors which also happened after the first 2 covid vaccinesI read vaccinations can triggers neurological issues so this must one..now on medication from a neurologist who says I have developed mild tremors so trying Clonesapam

Release 10 — day 42, dose 3

2021-11-13

Symptoms: Rash on both lower legs

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Continued skin rashes & joint pain from inflammatory response to the vaccine

Healthcare visit (other): Every covid19 injection has caused inflammatory responses ie rashes & joint pain & swelling so prescriptions for steroids & voltaren gel & tremors

Release 11 — 6 months, dose 3

2022-04-05

Symptoms: Same as evepainful joints, rashes and tremorsespecially significant after Covid vaccine injection &continue to wane as the weeks go by You keep calling me on my cell which doesnt work for voice calls where I livecall land line (b)(6)

redacted (b)(6)

Release 12 — days 1–6 daily, dose 4

2022-08-01

Systemic reaction (other): Extreme shivering

2022-08-03

Systemic reaction (other): 1.5" hard swollen lump at injection site, red, itchy, muscle cramping in legs and back muscles continuing from injection day

2022-08-04

Systemic reaction (other): Continuing severe joint & muscle pain using Voltaran gel plus injection site still has large lump red swollen itchy loss of appetite nothing tastes correct

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): Uncontrollable shivering teeth chattering?sleeplessness and shortness of breath

Release 12 — day 35, dose 5

2022-12-05

Symptoms: I have just had a hip replacement surgery

Healthcare visit (other): Hip surgery

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	Arthralgia	·	·	✓
HCVO	Hip surgery	·	·	✓
HCVO	Inflammation	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Rash	·	·	✓
HCVO	Swelling	·	·	✓
HCVO	Tremor	·	·	✓
HCVO	Vaccine positive rechallenge	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Arthropathy	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Eczema	✓	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Inflammation	·	·	✓
SD	Muscle disorder	✓	·	✓
SD	Neck pain	✓	✓	✓
SD	Phlebitis	✓	·	✓
SD	Piriformis syndrome	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sacroiliac joint dysfunction	✓	·	✓
SD	Sleep disorder	·	·	✓
SD	Temporomandibular joint syndrome	·	·	✓
SD	Tinnitus	·	·	✓
SD	Tremor	✓	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site induration	·	·	✓
SRO	Injection site mass	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Taste disorder	·	·	✓
SRO	Tremor	·	·	✓

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