5GP-30817-82845

5 vaccinations 13 coded responses 52 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 061 / CT
Registered: 2021-02-16

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: These symptoms are chronic, probably not vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches

Free text: Routine headache and aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Nausea, Vomiting

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Office visit, Ophthalmic migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Ocular migraine · Healthcare visit (other): Referred to ER from doctors office

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-17
Call 2 — Left Voicemail
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Survey response — day 28, dose 3
MedDRA: Myalgia, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle more sore in the arm of vaccine site. Painful to lift the arm now.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Head cold

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Decreased appetite, Dyspnoea, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Office visit, Pain, Paraesthesia, Presyncope — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Numbness and tingling in hands and feet, dizziness, near fainting, shortness of breath. For 10 days immediately after the booster I had severe fatigue and body aches, lessened appetite, but no fever · Healthcare visit (other): In person visits to cardiology to make sure it wasn't my pacemaker or my heart, have an echocardiogram scheduled for next week. Seen by neurologist also

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call 2 — Could Not Reach Participant
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hep C, anemia,

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call successful
Does not wish to fill out VAERS report
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Survey response — day 21, dose 4
MedDRA: Atrial fibrillation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Was in symptomatic atrial fibrillation, not new but was a worsening and I could only rest in bed for a day. I don't think it was related to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Survey response — day 35, dose 4
MedDRA: Oedema, Pre-existing disease — Feeling: Good

Free text: Worsening ankle and feet edema

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-06
Survey response — 6 months, dose 4
MedDRA: Emergency care, Office visit, Polymyalgia rheumatica — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with polymyalgia rheumatica and started treatment · Healthcare visit (other): Office visits in July, August , and September. Emergency room visits in June.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-07
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-07
Call 3 — Left Voicemail
2022-10-07
Call 3 — Left Voicemail
2022-10-07
Call 1 — Left Voicemail
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-17
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Survey response — day 28, dose 5
MedDRA: Contusion, Epistaxis, Fatigue, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nosebleeds, bruising, fatigue, headache · Healthcare visit (other): Office visits

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-07
Call 1 — Left Voicemail
2022-11-11
Survey response — day 35, dose 5
MedDRA: Fatigue, Office visit, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm even more fatigued, not sleeping well at all. Saw my primary care provider last Friday, cardiologist last Wednesday.

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-07
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-08
Survey response — 6 months, dose 5
MedDRA: Diabetes mellitus, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-10
Call successful
Does not wish to fill out VAERS report
2023-04-10
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-04-07	Pfizer-BioNTech	No
5	2022-10-07	Pfizer-BioNTech	Flu

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): These symptoms are chronic, probably not vaccine related

2021-02-19

Systemic reaction (other): Routine headache and aches

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Ocular migraine

Healthcare visit (other): Referred to ER from doctors office

Release 10 — day 28, dose 3

2021-10-28

Symptoms: Muscle more sore in the arm of vaccine site. Painful to lift the arm now.

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Head cold

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Numbness and tingling in hands and feet, dizziness, near fainting, shortness of breath. For 10 days immediately after the booster I had severe fatigue and body aches, lessened appetite, but no fever

Healthcare visit (other): In person visits to cardiology to make sure it wasn't my pacemaker or my heart, have an echocardiogram scheduled for next week. Seen by neurologist also

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Hep C, anemia,

Release 11 — day 21, dose 4

2022-04-28

Symptoms: Was in symptomatic atrial fibrillation, not new but was a worsening and I could only rest in bed for a day. I don't think it was related to the vaccine

Release 11 — day 35, dose 4

2022-05-12

Symptoms: Worsening ankle and feet edema

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: Diagnosed with polymyalgia rheumatica and started treatment

Healthcare visit (other): Office visits in July, August , and September. Emergency room visits in June.

Release 12 — day 28, dose 5

2022-11-04

Symptoms: Nosebleeds, bruising, fatigue, headache

Healthcare visit (other): Office visits

Release 12 — day 35, dose 5

2022-11-11

Symptoms: I'm even more fatigued, not sleeping well at all. Saw my primary care provider last Friday, cardiologist last Wednesday.

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	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Contusion	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diabetes mellitus	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oedema	·	·	✓
SD	Office visit	·	·	✓
SD	Ophthalmic migraine	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Polymyalgia rheumatica	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Presyncope	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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