5U8-28936-32296

5 vaccinations 11 coded responses 32 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 601 / IL
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Swollen "glands" below ears, feeling like I have a mild cold with mild sore throat and somewhat stuffy nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: I have rheumatoid arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 2
MedDRA: Emotional disorder, Feeling abnormal — Feeling: Good · Site: Pain

Free text: Foggy thinking and feeling somewhat emotional (sad and weepy).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Feeling very spacey and sad.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Fever · Fatigue or tiredness

Free text: Mild fever may be a sinus issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Arthralgia, Arthritis, Fatigue, Pre-existing disease — Feeling: Fair

Free text: Rheumatoid arthritis flare with joint pain and tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: I have rheumatoid arthritis and had been getting Rituximab infusions up until 8 months before receiving my first Pfizer shot. An antibody test this week, two weeks after the second shot shows no antibodies to covid-19 at all. What a waste!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dizziness, Headache, Joint stiffness — Feeling: Good · Be unable to do your normal daily activities

Free text: A lot of joint pain and soreness and stiffness. Some dizziness when I overexert myself and a mild, frequent headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-17
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-24
Dose 4 — Pfizer-BioNTech
2022-08-17
Survey response — 12 months, dose 3
MedDRA: Amnesia, Arthralgia, Contusion, Insomnia, Pain in extremity, Peripheral swelling — 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: Extreme pain, bruising, and swelling of ankles and feet. Worsened insomnia and memory issues because I'm tired.

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Report sent to call center — 12 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)
2022-08-18
Call 1 — Left Voicemail
2022-09-14
Dose 5 — Pfizer-BioNTech
2022-10-15
Survey response — day 28, dose 5
MedDRA: Balance disorder, Contusion, Joint swelling, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bruising and swelling of my ankles feet and lower legs. Some issues with balance. · Healthcare visit (other): Family practitioner and rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-18
Call 2 — Left Voicemail
2022-10-18
Call 1 — Left Voicemail
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Survey response — day 42, dose 5
MedDRA: Abdominal discomfort, Chills, Cough, Diarrhoea, Fatigue, Headache, Laboratory test abnormal, Oropharyngeal pain, Pyrexia, Sinusitis — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: A fever that was 3 higher than normal, headache, sore throat, fatigue, diarrhea, upset stomach, cough, sinusitis, chills. I have had five Covid shots, yet I have all of the symptoms of someone unvaccinated. · Healthcare visit (other): 2 positive at home tests, from 2 different manufacturers

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — day 42, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-27
Call 3 — Left Voicemail
2022-10-27
Call 2 — Left Voicemail
2022-10-27
Call 1 — Left Voicemail
2022-11-28
Call successful
Does not wish to fill out VAERS report
2022-11-28
Call successful
Does not wish to fill out VAERS report
2022-11-28
Call successful
Does not wish to fill out VAERS report
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-15
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-08-17	Pfizer-BioNTech	No
4	2022-07-24	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Swollen "glands" below ears, feeling like I have a mild cold with mild sore throat and somewhat stuffy nose.

2021-03-16

Systemic reaction (other): I have rheumatoid arthritis.

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Foggy thinking and feeling somewhat emotional (sad and weepy).

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Feeling very spacey and sad.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Mild fever may be a sinus issue.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Rheumatoid arthritis flare with joint pain and tiredness.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: I have rheumatoid arthritis and had been getting Rituximab infusions up until 8 months before receiving my first Pfizer shot. An antibody test this week, two weeks after the second shot shows no antibodies to covid-19 at all. What a waste!

Release 8 — day 42, dose 2

2021-05-14

Symptoms: A lot of joint pain and soreness and stiffness. Some dizziness when I overexert myself and a mild, frequent headache.

Release 12 — 12 months, dose 3

2022-08-17

Symptoms: Extreme pain, bruising, and swelling of ankles and feet. Worsened insomnia and memory issues because I'm tired.

Release 12 — day 28, dose 5

2022-10-15

Symptoms: Bruising and swelling of my ankles feet and lower legs. Some issues with balance.

Healthcare visit (other): Family practitioner and rheumatologist

Release 12 — day 42, dose 5

2022-10-26

Symptoms: A fever that was 3 higher than normal, headache, sore throat, fatigue, diarrhea, upset stomach, cough, sinusitis, chills. I have had five Covid shots, yet I have all of the symptoms of someone unvaccinated.

Healthcare visit (other): 2 positive at home tests, from 2 different manufacturers

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	Laboratory test abnormal	·	·	✓
HCVO	Office visit	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Amnesia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Chills	·	·	✓
SD	Contusion	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Depressed mood	✓	✓	✓
SRO	Emotional disorder	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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