5LK-33743-50536

2 vaccinations 6 coded responses 8 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 401 / KY
Registered: 2021-12-02

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

Registered dependents

DEC-99187-78832 Child or adolescent in my care · Male · 2021-12-02

Timeline

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

2021-03-29
Dose 1 — Janssen/Johnson & Johnson
2021-12-02
Registered in v-safe
2021-12-02
Dose 2 — Pfizer-BioNTech
2021-12-02
Survey response — day 0, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a connective tissue disorder and joint conditions that also produce these symptoms so I wouldn't count them as strictly vaccine related. It could be either thing, neither, or both causing the above symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ehlers-Danlos Syndrome, degenerative joint and inflammatory disorders that cause chronic pain make this a normal thing for me

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have Ehlers-Danlos Syndrome, Myofascial Pain Syndrome, and other chronic pain and degenerative disorders of the joints

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have Ehlers-Danlos Syndrome, Myofascial Pain Syndrome, degenerative disease of the joints and spine, and other painful chronic conditions that can be inflammatory and responsive in autoimmune situations

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 35, dose 2
MedDRA: Arthralgia, Myalgia, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Joint, muscular, and fascia pain related to Ehlers-Danlos Syndrome, fibromyalgia, arthritis, and Chronic Myofascial Pain Syndrome · Healthcare visit (other): Primary Care Provider visits

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-03
Survey response — 3 months, dose 2
MedDRA: COVID-19, Condition aggravated, Post-acute COVID-19 syndrome, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Covid on 01/18/2022 Post covid syndrome 01/31/2022 Fibromyalgia and Ehlers-Danlos syndrome flare up 02/28/2022 to present

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-06-03
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Janssen/Johnson & Johnson	No
2	2021-12-02	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 0, dose 2

2021-12-02

Systemic reaction (other): I have a connective tissue disorder and joint conditions that also produce these symptoms so I wouldn't count them as strictly vaccine related. It could be either thing, neither, or both causing the above symptoms.

Release 10 — days 1–6 daily, dose 2

2021-12-04

Systemic reaction (other): Ehlers-Danlos Syndrome, degenerative joint and inflammatory disorders that cause chronic pain make this a normal thing for me

2021-12-05

Systemic reaction (other): I have Ehlers-Danlos Syndrome, Myofascial Pain Syndrome, and other chronic pain and degenerative disorders of the joints

2021-12-06

Systemic reaction (other): I have Ehlers-Danlos Syndrome, Myofascial Pain Syndrome, degenerative disease of the joints and spine, and other painful chronic conditions that can be inflammatory and responsive in autoimmune situations

Release 10 — day 35, dose 2

2022-01-08

Symptoms: Joint, muscular, and fascia pain related to Ehlers-Danlos Syndrome, fibromyalgia, arthritis, and Chronic Myofascial Pain Syndrome

Healthcare visit (other): Primary Care Provider visits

Release 11 — 3 months, dose 2

2022-03-03

Symptoms: Covid on 01/18/2022 Post covid syndrome 01/31/2022 Fibromyalgia and Ehlers-Danlos syndrome flare up 02/28/2022 to present

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	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Myalgia	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Pre-existing disease	·	·	✓

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