5R3-19640-18001

3 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 800 / CO
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Fever · Fatigue or tiredness

Free text: My tinnitus was worse today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair · Fever · Be unable to do your normal daily activities

Free text: Cough. Tight chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — day 14, dose 2
MedDRA: Pain, Pain in extremity, Vaccination site pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Arm in area of vaccination is increasingly sore. After the first day or two of soreness immediately following the vaccination, my arm got better. Then it started getting painful again and now it hurts to lift the arm above shoulder level.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to be experiencing a flare of my ankylosing spondylitis. Increased pain, especially in spine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Arthralgia, Autoimmune disorder, Back pain — Feeling: Fair

Free text: Injection arm continues to be painful when I lift it above shoulder level. Since 2nd injection and only injection arm. Increase of back pain, due to autoimmune disease flare starting 1 week after 2nd injection seems resolved after 3 wks, w therapy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Unevaluable event — 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: Auto immune

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 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 · 1 call case(s)
2022-02-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): My tinnitus was worse today

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Cough. Tight chest.

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Arm in area of vaccination is increasingly sore. After the first day or two of soreness immediately following the vaccination, my arm got better. Then it started getting painful again and now it hurts to lift the arm above shoulder level.

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Seem to be experiencing a flare of my ankylosing spondylitis. Increased pain, especially in spine.

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Injection arm continues to be painful when I lift it above shoulder level. Since 2nd injection and only injection arm. Increase of back pain, due to autoimmune disease flare starting 1 week after 2nd injection seems resolved after 3 wks, w therapy. cut off by CDC

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Auto immune

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
SD	Arthralgia	✓	✓	✓
SD	Autoimmune disorder	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Spinal pain	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Vaccination site pain	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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