5MJ-11305-92341

5 vaccinations 9 coded responses 38 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 545 / WI
Registered: 2021-01-29

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

Timeline

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eczema, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Usual excema acting out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Eczema — Feeling: Good · Fatigue or tiredness

Free text: Excema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 7, dose 2
MedDRA: Eczema, Pre-existing disease — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Excema way worse than it normally is at this one of the year. Afraid to use steroid ointments because of the CoVid Vacc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-10
Survey response — day 21, dose 3
MedDRA: Arthralgia, Neck pain, Post procedural complication, Sacroiliitis, Unevaluable event — 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: Symptoms: Neck and shoulder pain. Exaserbation post rotator cuff repair. Sacroiliitis. · Healthcare visit (other): Depo-Medrol joint injections

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — day 21, 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)
2021-10-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-05
Call 2 — Left Voicemail
2021-12-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Diarrhea

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-26
Dose 5 — Pfizer-BioNTech
2022-10-02
Survey response — 6 months, dose 4
MedDRA: Oropharyngeal pain, Productive cough, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, runny nose, productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — day 14, dose 5
MedDRA: Cough, Laboratory test abnormal, Sinusitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Binax antigen test positive on 10/01 2022. Sinusitis, cough. Continued to test positive and symptomatic until 10/06/2022. Had been treated with five day course of molnupirivar. 10/10/2022 again tested positive continue to test positive, symptomat

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — day 14, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-17
Survey response — day 21, dose 5
MedDRA: Conjunctivitis, Nasal pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Itching nasal tissue, conjunctivitis,

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Call 1 — Left Voicemail
2022-10-17
Call 1 — Left Voicemail
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Survey response — 3 months, dose 5
MedDRA: Arthritis, Asthma, Blood glucose increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased fasting glucose levels. Increased Asthma, increased Spondular Arthritis.

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-09-16	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-09-26	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): None

2021-02-21

Systemic reaction (other): Usual excema acting out

2021-02-22

Systemic reaction (other): Excema

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Excema way worse than it normally is at this one of the year. Afraid to use steroid ointments because of the CoVid Vacc.

Release 10 — day 21, dose 3

2021-10-10

Symptoms: Neck and shoulder pain. Exaserbation post rotator cuff repair. Sacroiliitis.

Healthcare visit (other): Depo-Medrol joint injections

Release 12 — 6 months, dose 4

2022-10-02

Symptoms: Sore throat, runny nose, productive cough

Release 12 — day 14, dose 5

2022-10-15

Symptoms: Binax antigen test positive on 10/01 2022. Sinusitis, cough. Continued to test positive and symptomatic until 10/06/2022. Had been treated with five day course of molnupirivar. 10/10/2022 again tested positive continue to test positive, symptomat cut off by CDC

Release 12 — day 21, dose 5

2022-10-17

Symptoms: Itching nasal tissue, conjunctivitis,

Release 12 — 3 months, dose 5

2022-12-27

Symptoms: Increased fasting glucose levels. Increased Asthma, increased Spondular Arthritis.

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Asthma	·	·	✓
SD	Blood glucose increased	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Nasal pruritus	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Post procedural complication	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sacroiliitis	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Eczema	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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