5B4-20872-27608

3 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 278 / NC
Registered: 2021-09-21

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-09-20
Dose 1 — Pfizer-BioNTech
2021-09-21
Registered in v-safe
2021-09-21
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Little sleepy

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain, Itching · Headache

Free text: Lingering headache but tolerable. More than yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Itching · Headache · Be unable to do your normal daily activities

Free text: Less soreness for sure.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-09-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-14
Dose 2 — Pfizer-BioNTech
2021-10-25
Survey response — day 7, dose 2
MedDRA: Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains · Be unable to do your normal daily activities

Free text: Swelling/itching lasted a few days after Oct 14th.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo off and on all week. Unusual for me... Approx 3-4 yrs ago was last symptom.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 42, dose 2
MedDRA: Headache, Ocular hyperaemia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches are more frequent. Eyes are red

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache, Pain in extremity, Self-medication — Feeling: Good · 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: Headache lasted about 10 days, nothing worked to ease the pain. Eventually got better, after taking 2 Tylenol 500 twice/day, Zyrtec once/day for 10 days. Headache much better, comes & goes. Right shoulder still ache, but better. Lower R leg ached.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-24
Call 2 — Could Not Reach Participant
2022-04-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Dose 3 — Pfizer-BioNTech
2022-05-04
Survey response — day 7, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Swelling under the R arm pit nect day after vaccine. Back to normal now. It lasted 5 days.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-28
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Injection site pain, Loss of personal independence in daily activities, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Knees, hip, shoulders. More achy & sore than usual. Area at last vaccine is sore/tender. Occasional overall body aches. Slows me down from normal activities.

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
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)
2022-07-29
Call 3 — Left Voicemail
2022-07-29
Call 1 — Left Voicemail
2022-08-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-10-26
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Gait disturbance, Office visit, 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: L hip and R shoulder aching. Now going to therapy for the hip. Unable to walk normal for a couple months. Pain was a 9, 10 being the worst. Pain now is 5/6. Not ready to do another vaccine at this time. I've had three. · Healthcare visit (other): Xrays by ortho & primary doctor. Now going to therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
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)
2022-10-27
Call 1 — Left Voicemail
2023-04-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-20	Pfizer-BioNTech	No
2	2021-10-14	Pfizer-BioNTech	No
3	2022-04-26	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-21

Systemic reaction (other): Little sleepy

2021-09-22

Systemic reaction (other): Lingering headache but tolerable. More than yesterday.

2021-09-23

Systemic reaction (other): Less soreness for sure.

Release 10 — day 7, dose 2

2021-10-25

Systemic reaction (other): Swelling/itching lasted a few days after Oct 14th.

Release 10 — day 28, dose 2

2021-11-11

Symptoms: Vertigo off and on all week. Unusual for me... Approx 3-4 yrs ago was last symptom.

Release 10 — day 42, dose 2

2021-11-26

Symptoms: Headaches are more frequent. Eyes are red

Release 10 — 3 months, dose 2

2022-01-13

Symptoms: Headache lasted about 10 days, nothing worked to ease the pain. Eventually got better, after taking 2 Tylenol 500 twice/day, Zyrtec once/day for 10 days. Headache much better, comes & goes. Right shoulder still ache, but better. Lower R leg ached.

Release 11 — day 7, dose 3

2022-05-04

Systemic reaction (other): Swelling under the R arm pit nect day after vaccine. Back to normal now. It lasted 5 days.

Release 12 — 3 months, dose 3

2022-07-28

Symptoms: Knees, hip, shoulders. More achy & sore than usual. Area at last vaccine is sore/tender. Occasional overall body aches. Slows me down from normal activities.

Release 12 — 6 months, dose 3

2022-10-26

Symptoms: L hip and R shoulder aching. Now going to therapy for the hip. Unable to walk normal for a couple months. Pain was a 9, 10 being the worst. Pain now is 5/6. Not ready to do another vaccine at this time. I've had three.

Healthcare visit (other): Xrays by ortho & primary doctor. Now going to therapy.

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	Office visit	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	·	·	✓
SD	Vertigo	·	·	✓
SRO	Headache	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Swelling	·	·	✓

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