5NT-11173-36632

4 vaccinations 27 coded responses 48 check-ins 26 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 989 / WA
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Coughing

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

Free text: coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Injection site pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The pain in my body overall was severe at one point. Felt like my nervous system was short circuiting. If someone touched me was in pain. The nerves in my face would twinge. That has settled down some now but earlier it was painful. The joint pain was all over to even include the temporomandibular joint. The shot site is very painful and can't lift my arm up. I can raise it ever so slightly. This second shot has been extremely worse than the first one. I have never had a shot cause this much pain. I have had to have shots for being transferred overseas and nothing has been this painful or unpleasant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Loss of personal independence in daily activities, Pyrexia, Somnolence — Feeling: Fair

Free text: Fatigue and am winded a lot. One day had low grade fever. I still do farm chores but slow going. Need to take naps. Have not done new Covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Fatigue and mild shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 0, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Mild shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Nervous system disorder, Pain, Tenderness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen area by left lymph glands, painful. Whole body pain. Nerves over sensitive, painful to touch.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphoedema — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Lymphadema left armpit, painful.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Erythema, Lymphoedema, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Left underarm lymphedema. Redness, not rash over area swollen by lymphedema. Pain localized to armpit area. Itching over the swollen area under arm, part of upper arm, down the side below where bra ends. Notice should be put public of this potential.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphoedema, Pain, Pruritus — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: The lymphedema is about the same with minimal pain and no itching today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphoedema, Pain, Pruritus, Swelling — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Lymphedema still under arm. Pain is less. Some itching and the same swelling as yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Lymphoedema, Malaise, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Lymphedema still present. Headache and overall cruddy feeling this afternoon. Slight fever.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 7, dose 3
MedDRA: Lymphoedema — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Lymphedema still present. About like yesterday. No fever today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Cough, Dyspnoea, Headache, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: SOB, mild fever, cough, headache, sneezing, congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Demyelination, Magnetic resonance imaging abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: MRI shows some demyelination.

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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-09-30
Survey response — 12 months, dose 3
MedDRA: Balance disorder — Feeling: Good

Free text: Balance issues

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Dose 4 — Moderna
2022-10-11
Survey response — days 1–6 daily, dose 4
MedDRA: Arrhythmia, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My whole body is painful. I have arrhythmia and it has not stopped. Last night was awful.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — days 1–6 daily, dose 4
MedDRA: Arrhythmia, Lymphoedema, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: The arrhythmia has abated finally. PRM is 94 rather than117-122 yesterday. No more fever or body pain. Arm is still painful and have lymphedema under that arm now.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphoedema, Palpitations — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Still have lymphedema underarm of the shot. Still get periodic racing heart.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — days 1–6 daily, dose 4
MedDRA: Arrhythmia, Diarrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Diarrhea · Be unable to do your normal daily activities

Free text: The arrhythmia returned yesterday evening and diarrhea started then as well. Still have both today.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 4
MedDRA: Chills, Condition aggravated, Heart rate increased, Pre-existing disease, Pyrexia — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Last evening the racing pulse and arrhythmia returned. Last night, my fever and chills returned.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — day 7, dose 4
MedDRA: Arrhythmia, Diarrhoea, Ventricular extrasystoles — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: The diarrhea has abated finally. My heart rate is die to 91-95bpm. I still have the issues with arrhythmia. I purchased the app, Kardia, and it read my arrhythmia as a premature ventricular contraction. It is not sporadic with only a few occurrence,

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-09
Survey response — day 28, dose 4
MedDRA: Arthralgia, Injected limb mobility decreased, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: The joint pain in my shoulder on the arm that I received the injection, still is experiencing pain especially when I try to reach around my back. I have restricted mobility on that arm.I can't put my arm in certain positions and I really can't reach

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Survey response — day 35, dose 4
MedDRA: Arthralgia, Joint range of motion decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: The joint pain is not going away and my impeded range of motion interferes with normal daily routines to include dressing or undressing.

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-10
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Respiratory disorder, Tachycardia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 2 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-05-03
Call 3 — Left Voicemail
2023-05-03
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-10-10	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Coughing

2021-03-04

Systemic reaction (other): coughing

2021-03-05

Systemic reaction (other): coughing

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): coughing

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): The pain in my body overall was severe at one point. Felt like my nervous system was short circuiting. If someone touched me was in pain. The nerves in my face would twinge. That has settled down some now but earlier it was painful. The joint pain was all over to even include the temporomandibular joint. The shot site is very painful and can't lift my arm up. I can raise it ever so slightly. This second shot has been extremely worse than the first one. I have never had a shot cause this much pain. I have had to have shots for being transferred overseas and nothing has been this painful or unpleasant.

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Fatigue and am winded a lot. One day had low grade fever. I still do farm chores but slow going. Need to take naps. Have not done new Covid test.

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Fatigue and mild shortness of breath.

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): Mild shortness of breath.

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Swollen area by left lymph glands, painful. Whole body pain. Nerves over sensitive, painful to touch.

2021-10-02

Systemic reaction (other): Lymphadema left armpit, painful.

2021-10-03

Systemic reaction (other): Left underarm lymphedema. Redness, not rash over area swollen by lymphedema. Pain localized to armpit area. Itching over the swollen area under arm, part of upper arm, down the side below where bra ends. Notice should be put public of this potential. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): The lymphedema is about the same with minimal pain and no itching today.

2021-10-05

Systemic reaction (other): Lymphedema still under arm. Pain is less. Some itching and the same swelling as yesterday.

2021-10-06

Systemic reaction (other): Lymphedema still present. Headache and overall cruddy feeling this afternoon. Slight fever.

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): Lymphedema still present. About like yesterday. No fever today.

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: SOB, mild fever, cough, headache, sneezing, congestion.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: MRI shows some demyelination.

Release 12 — 12 months, dose 3

2022-09-30

Symptoms: Balance issues

Release 12 — days 1–6 daily, dose 4

2022-10-11

Systemic reaction (other): My whole body is painful. I have arrhythmia and it has not stopped. Last night was awful.

2022-10-12

Systemic reaction (other): The arrhythmia has abated finally. PRM is 94 rather than117-122 yesterday. No more fever or body pain. Arm is still painful and have lymphedema under that arm now.

2022-10-13

Systemic reaction (other): Still have lymphedema underarm of the shot. Still get periodic racing heart.

2022-10-14

Systemic reaction (other): The arrhythmia returned yesterday evening and diarrhea started then as well. Still have both today.

2022-10-15

Systemic reaction (other): Last evening the racing pulse and arrhythmia returned. Last night, my fever and chills returned.

Release 12 — day 7, dose 4

2022-10-17

Systemic reaction (other): The diarrhea has abated finally. My heart rate is die to 91-95bpm. I still have the issues with arrhythmia. I purchased the app, Kardia, and it read my arrhythmia as a premature ventricular contraction. It is not sporadic with only a few occurrence, cut off by CDC

Release 12 — day 28, dose 4

2022-11-09

Symptoms: The joint pain in my shoulder on the arm that I received the injection, still is experiencing pain especially when I try to reach around my back. I have restricted mobility on that arm.I can't put my arm in certain positions and I really can't reach cut off by CDC

Release 12 — day 35, dose 4

2022-11-19

Symptoms: The joint pain is not going away and my impeded range of motion interferes with normal daily routines to include dressing or undressing.

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	Balance disorder	·	·	✓
SD	Cough	·	·	✓
SD	Demyelination	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injected limb mobility decreased	·	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Tachycardia	·	·	✓
SRO	Arrhythmia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Erythema	·	·	✓
SRO	Headache	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Lymphoedema	·	·	✓
SRO	Malaise	·	·	✓
SRO	Nervous system disorder	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Swelling	·	·	✓
SRO	Tenderness	·	·	✓
SRO	Ventricular extrasystoles	·	·	✓

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