5TX-16516-41170

4 vaccinations 15 coded responses 34 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 395 / MS
Registered: 2021-02-01

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

Registered dependents

2K7-23617-75546 Adult relative or friend · Male · 2021-08-02

Timeline

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

2021-01-11
Dose 1 — Pfizer-BioNTech
2021-02-01
Registered in v-safe
2021-02-01
Dose 2 — Pfizer-BioNTech
2021-02-01
Survey response — day 0, dose 2
MedDRA: Joint range of motion decreased — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Still hurts to lift arm got first shot in

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Sinus issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 7, dose 2
MedDRA: Paranasal sinus hypersecretion, Rhinorrhoea, Unevaluable event — Feeling: Fair · Headache

Free text: Sinus, sinus draibage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms, but intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 28, dose 2
MedDRA: Headache, Nasal congestion, Sinus pain, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continuous headache, stuffy nose, sneezing, painful sinuses - sinus infection or allergies? No fever or runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 35, dose 2
MedDRA: Injection site pain — Feeling: Fair

Free text: Thought pain in arm at injection site was going away, but some days it hurts alot - -??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 42, dose 2
MedDRA: Depression, Fatigue, Injection site pain — Feeling: Fair

Free text: Pain in rt arm at injection site. Depression, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Insomnia, Sinusitis, Temporomandibular joint syndrome — Feeling: Fair

Free text: Sinus infections, TMJ, Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot, Mobility decreased, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Head stopped up. Been suiting around all day. Feel feverish, but no fever

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme pain in left hip. Going to doctor 10/27

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
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
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Cough, Exposure to communicable disease, Headache, Nasal discomfort, Nasopharyngitis, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Poor · 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: Bad head cold, runny nose, sneezing, cough, headache, nasal passage burning, very little fever. Caught from 3yo grandson. Negative rapid Covid test

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — 3 months, 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)
2022-01-04
Call 1 — Left Voicemail
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-15
Survey response — day 14, dose 4
MedDRA: Arthralgia, Back pain, Gait disturbance — 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: Hip and back pain making it difficult to walk

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 14, dose 4
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)
2022-05-17
Call 1 — Could Not Reach Participant
2022-05-18
Call 2 — Could Not Reach Participant
2022-05-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 28, dose 4
MedDRA: Abdominal distension, Diarrhoea, Flank pain, Headache, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain on left side near ribs. Nauseous Bloated. Headache. Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 2 — Could Not Reach Participant
2022-05-31
Call 3 — Could Not Reach Participant
2022-05-31
Call 1 — Could Not Reach Participant
2022-06-03
Survey response — day 35, dose 4
MedDRA: Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain in side and back. Hurts when I move

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Call 3 — Could Not Reach Participant
2022-06-03
Call X — Could Not Reach Participant
2022-06-03
Call 2 — Could Not Reach Participant
2022-06-10
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-30
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-29
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Asthma, Back pain — 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

MedDRA releases: 2024-11
2023-04-29
Report sent to call center — 12 months, dose 4
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)
2023-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-01	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Still hurts to lift arm got first shot in

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Sinus issues

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Sinus, sinus draibage

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Cold symptoms, but intermittent

Release 4 — day 28, dose 2

2021-03-01

Symptoms: Continuous headache, stuffy nose, sneezing, painful sinuses - sinus infection or allergies? No fever or runny nose

Release 5 — day 35, dose 2

2021-03-08

Symptoms: Thought pain in arm at injection site was going away, but some days it hurts alot - -??

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Pain in rt arm at injection site. Depression, fatigue

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Sinus infections, TMJ, Insomnia

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Head stopped up. Been suiting around all day. Feel feverish, but no fever

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Extreme pain in left hip. Going to doctor 10/27

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Bad head cold, runny nose, sneezing, cough, headache, nasal passage burning, very little fever. Caught from 3yo grandson. Negative rapid Covid test

Release 11 — day 14, dose 4

2022-05-15

Symptoms: Hip and back pain making it difficult to walk

Release 11 — day 28, dose 4

2022-05-27

Symptoms: Pain on left side near ribs. Nauseous Bloated. Headache. Diarrhea

Release 11 — day 35, dose 4

2022-06-03

Symptoms: Muscle pain in side and back. Hurts when I move

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	Abdominal distension	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasal discomfort	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus pain	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Temporomandibular joint syndrome	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Mobility decreased	·	·	✓
SRO	Paranasal sinus hypersecretion	✓	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	○	✓	○
SRO	Sinus disorder	✓	✓	✓
SRO	Unevaluable event	✓	·	✓

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