5RL-23726-15466

4 vaccinations 6 coded responses 33 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 009 / PR
Registered: 2020-12-30

Relationship: Self
Race: Asian
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Pain, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Pain at rash site, left scapula and buttock · Healthcare visit (other): Notified my primary and my spouse is an internist and examined me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Lymphadenopathy, Pruritus, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Submandibular and cervical nodes enlarged. Shingles like lesions with itching and burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Second day after vaccine , developed shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Call successful
Completed over the phone
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Intermittent headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Arthritis, Arthritis infective, Office visit, Pain in extremity, Pre-existing disease — Feeling: Good · 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: Moderate to severe pain both hands approximately one month after second dose. I have mild arthritis both hands which got very bad requiring seeing doctor and getting local joint injection with steroid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bronchitis · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 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

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-01-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Dose 4 — Moderna
2022-05-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-04-23	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Pain at rash site, left scapula and buttock

Healthcare visit (other): Notified my primary and my spouse is an internist and examined me.

2021-01-03

Systemic reaction (other): Submandibular and cervical nodes enlarged. Shingles like lesions with itching and burning

2021-01-04

Systemic reaction (other): Second day after vaccine , developed shingles

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Intermittent headaches

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Moderate to severe pain both hands approximately one month after second dose. I have mild arthritis both hands which got very bad requiring seeing doctor and getting local joint injection with steroid

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: Bronchitis

Healthcare visit (other): Office visit

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	✓	✓	✓
HCVO	Specialist consultation	○	○	○
SD	Arthralgia	✓	·	✓
SD	Arthritis	✓	·	✓
SD	Arthritis infective	○	✓	○
SD	Bronchitis	·	·	✓
SD	Headache	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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