5BV-17937-33272

3 vaccinations 11 coded responses 34 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 640 / MO
Registered: 2021-03-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

J5G-10816-33027 Child or adolescent in my care · Female · 2021-10-17

U32-17655-93512 Child or adolescent in my care · Female · 2021-10-17

Y33-50301-06448 Child or adolescent in my care · Male · 2021-10-17

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Mild itching last night (not at injection site) but responded to Zyrtec

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fever · Fatigue or tiredness

Free text: I had a fever up until about 7-8pm last night. It went up a little after yesterday's check-in but the highest reading was 99.5 F. Woke up today feeling great! Not tired today but had to check something to input this note for last night's fever reading.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Nausea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-01
Survey response — day 14, dose 2
MedDRA: Dyspepsia, Dyspnoea, Gastrooesophageal reflux disease — Feeling: Good

Free text: Heartburn, Reflux, Indigestion, Shortness of Breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Computerised tomogram abnormal, Fatigue, Lymphadenopathy, Renal neoplasm — Feeling: Fair

Free text: L kidney lesion, L elbow pain, L middle finger knuckle pain, bilat lympadopathy more worse on R, generalized fatigue. Some of these came before my last check ins but i figured not related. The kidney and lymph nodes were seen on CT last week. F/u sch

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-06
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: bilateral axillary lymph node pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good · Site: Pain

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Survey response — day 7, dose 3
MedDRA: Headache — Feeling: Good

Free text: I'm good today but had a headache last night that didn't come on until late afternoon

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — day 14, dose 3
MedDRA: Arthralgia, Tendonitis — Feeling: Good

Free text: My left elbow developed tendonitis after my first dose that i battled with for 5 months. I assumed it was from yardwork It got better until today, its hurting again. I have not done any yardwork or any exercise or anything to trigger it.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 21, dose 3
MedDRA: Tendonitis — Feeling: Good

Free text: Still have left elbow tendonitis for no apparent trigger or reason

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 42, dose 3
MedDRA: Arthralgia, Epicondylitis, Vaccine positive rechallenge — Feeling: Fair

Free text: Achy joints, tennis elbow continues and is daily again like it was after the first two vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Contusion, Joint swelling, Tendonitis — Feeling: Good

Free text: Still having bilateral tendonitis in elbows, they also are swollen at times and sometimes look bruised.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-06	Pfizer-BioNTech	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Mild itching last night (not at injection site) but responded to Zyrtec

2021-03-21

Systemic reaction (other): I had a fever up until about 7-8pm last night. It went up a little after yesterday's check-in but the highest reading was 99.5 F. Woke up today feeling great! Not tired today but had to check something to input this note for last night's fever reading.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Heartburn, Reflux, Indigestion, Shortness of Breath

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: L kidney lesion, L elbow pain, L middle finger knuckle pain, bilat lympadopathy more worse on R, generalized fatigue. Some of these came before my last check ins but i figured not related. The kidney and lymph nodes were seen on CT last week. F/u sch cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): bilateral axillary lymph node pain

2021-11-09

Systemic reaction (other): Cough

Release 10 — day 7, dose 3

2021-11-13

Systemic reaction (other): I'm good today but had a headache last night that didn't come on until late afternoon

Release 10 — day 14, dose 3

2021-11-20

Symptoms: My left elbow developed tendonitis after my first dose that i battled with for 5 months. I assumed it was from yardwork It got better until today, its hurting again. I have not done any yardwork or any exercise or anything to trigger it.

Release 10 — day 21, dose 3

2021-12-01

Symptoms: Still have left elbow tendonitis for no apparent trigger or reason

Release 10 — day 42, dose 3

2021-12-19

Symptoms: Achy joints, tennis elbow continues and is daily again like it was after the first two vaccines.

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Still having bilateral tendonitis in elbows, they also are swollen at times and sometimes look bruised.

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	Arthralgia	✓	·	✓
SD	Computerised tomogram abnormal	✓	·	✓
SD	Contusion	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Epicondylitis	·	·	✓
SD	Fatigue	✓	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Renal neoplasm	✓	·	✓
SD	Tendonitis	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Cough	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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