5DA-16944-51133

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 775 / TX
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-01
Survey response — day 0, dose 1
MedDRA: Burning sensation — Feeling: Fair · Site: Pain · Joint pains

Free text: Burning sensation along the whole injection site arm and including the shoulder blade.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 2
MedDRA: Arthralgia, Neck pain, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains

Free text: Soreness in my neck and down through my elbow on the side of the arm that got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain from my neck down to my fingertips on the side where i received the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 7, dose 2
MedDRA: Contusion — Feeling: Fair · Fatigue or tiredness

Free text: Still bruised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-02
Dose 3 — Pfizer-BioNTech
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-30
Survey response — day 28, dose 3
MedDRA: Dizziness, Headache, Hypotension, Office visit — Feeling: Poor · 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: Extremely low blood pressure, which has me feeling faint and headachy · Healthcare visit (other): Used an existing appointment to focus on that issue

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — day 28, 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)
2022-02-06
Survey response — day 35, dose 3
MedDRA: Dizziness, Fatigue, Hypotension — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely low blood pressure, dizziness, and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Survey response — day 42, dose 3
MedDRA: Anaemia, Electrocardiogram abnormal, Fatigue, Laboratory test abnormal — Feeling: Good · Be unable to do your normal daily activities

Free text: Anemia, poor EKG, poor COC heart test result, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Call successful
Does not wish to fill out VAERS report
2022-04-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-03
Survey response — 6 months, dose 3
MedDRA: Aphonia, Chills, Cough, Fatigue, Pyrexia — 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: Fever, cough, chills, loss of voice, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
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)
2022-07-05
Call 1 — Could Not Reach Participant
2022-07-08
Call 2 — Could Not Reach Participant
2023-01-04
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2022-01-02	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Burning sensation along the whole injection site arm and including the shoulder blade.

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): Soreness in my neck and down through my elbow on the side of the arm that got the shot

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Pain from my neck down to my fingertips on the side where i received the vaccine

2021-03-25

Systemic reaction (other): Bruising

2021-03-26

Systemic reaction (other): Bruise

Release 6 — day 7, dose 2

2021-03-29

Systemic reaction (other): Still bruised

Release 11 — day 28, dose 3

2022-01-30

Symptoms: Extremely low blood pressure, which has me feeling faint and headachy

Healthcare visit (other): Used an existing appointment to focus on that issue

Release 11 — day 35, dose 3

2022-02-06

Symptoms: Extremely low blood pressure, dizziness, and fatigue

Release 11 — day 42, dose 3

2022-02-14

Symptoms: Anemia, poor EKG, poor COC heart test result, fatigue

Release 12 — 6 months, dose 3

2022-07-03

Symptoms: Fever, cough, chills, loss of voice, fatigue

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	·	·	✓
SD	Anaemia	·	·	✓
SD	Aphonia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypotension	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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