5B5-40121-65932

3 vaccinations 15 coded responses 35 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 857 / AZ
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache

Free text: I have chronic fibromyalgia and irritable bowel syndrome and GERD.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good

Free text: Fibromyalgia. Just some mild R thigh pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache

Free text: I have other pain that is from fibromyalgia and IBS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: Just my regular daily pain from fibromyalgia and IBS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Fair

Free text: Regular pain from IBS and fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Fair

Free text: Just the regular pain from IBS and fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: GERD attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Gastro esophageal reflux extreme the past 30 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Headache, Abdominal pain · Be unable to do your normal daily activities

Free text: Acid refluxmild/moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal disorder, Pain, Pre-existing disease — Feeling: Fair

Free text: I have solely the bodily pain and gastrointestinal symptoms from my chronic health conditions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Abdominal pain

Free text: From chronic IBS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair

Free text: My GERD has gotten much much worse, starting several days ago

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

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Angina pectoris — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pain around chest/heart area (started about a month ago). Went to ERX-ray, blood tests, CT w/contrast negative. Got prescription of Indomethacin (strong anti-inflammatory) which largely addresses the pain (pleurisy?). Getting stress test soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
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)
2021-07-12
Call 1 — Left Voicemail
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-17
Dose 3 — Pfizer-BioNTech
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Pruritus — Feeling: Fair · Site: Pain

Free text: I say "None" because I got COVID booster (R arm) last Sunday and flu shot (L arm) on Wednesday (yesterday) and last night I started having RIGHT arm pain (much more than LEFT arm pain which got COVID shot) + itchiness on upper LEFT side of body.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-31
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-16
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-17
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): I have chronic fibromyalgia and irritable bowel syndrome and GERD.

2021-03-13

Systemic reaction (other): Fibromyalgia. Just some mild R thigh pain.

2021-03-14

Systemic reaction (other): I have other pain that is from fibromyalgia and IBS.

2021-03-15

Systemic reaction (other): Just my regular daily pain from fibromyalgia and IBS.

2021-03-16

Systemic reaction (other): Regular pain from IBS and fibromyalgia

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Just the regular pain from IBS and fibromyalgia

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): GERD attack

2021-04-03

Systemic reaction (other): Gastro esophageal reflux extreme the past 30 hours

2021-04-04

Systemic reaction (other): Acid refluxmild/moderate

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I have solely the bodily pain and gastrointestinal symptoms from my chronic health conditions.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): From chronic IBS.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: My GERD has gotten much much worse, starting several days ago

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Pain around chest/heart area (started about a month ago). Went to ERX-ray, blood tests, CT w/contrast negative. Got prescription of Indomethacin (strong anti-inflammatory) which largely addresses the pain (pleurisy?). Getting stress test soon.

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): I say "None" because I got COVID booster (R arm) last Sunday and flu shot (L arm) on Wednesday (yesterday) and last night I started having RIGHT arm pain (much more than LEFT arm pain which got COVID shot) + itchiness on upper LEFT side of body.

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	Angina pectoris	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	·	·	✓

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