5WB-50417-94321

5 vaccinations 9 coded responses 33 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 956 / CA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair

Free text: Muscle spasm from right breast to rib cage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle strain — Feeling: Good

Free text: Muscle strain on chest wall from right breast wrapping around to right ribs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle strain — Feeling: Good

Free text: Muscle strain on right side from right breast around to right ribs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-09
Health check-in — day 21, 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 · Site: Pain · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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 · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain

Free text: I have had RA since 2005 and have been on DMARDS since the beginning, adding a no logic around 2010 (Enbrel, then Orencia). I had a range of side effects after the second dose and was wondering if it had anything to do with the RA and the meds, so I thought I would share that info.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Dose 3 — Pfizer-BioNTech
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Carpal tunnel syndrome, Office visit — Feeling: Good · 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: Carpal Tunnel Syndrome · Healthcare visit (other): Nerve conduction test; visit with the hand surgeon

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-04-21
Survey response — day 42, dose 4
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have my first sinus cold since March 2020. I did a COVID test on day 4 of symptoms and it was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Survey response — 3 months, dose 4
MedDRA: Carpal tunnel decompression, Carpal tunnel syndrome, Dry eye, Glaucoma, Haemoglobin decreased, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Carpal tunnel syndrome surgery; Glaucoma; dry eye; lowered hemoglobin; sinus cold

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-09-10
Survey response — 6 months, dose 4
MedDRA: COVID-19, Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Good · 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: 7/26/22 COVID 19 - sore throat, headache, fever, nose congestion, runny nose, cough, fatigue 7 days

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-12
Call successful
Not applicable - Accidental Reporting
2022-09-12
Call successful
Not applicable - Accidental Reporting
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 42, dose 5
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a Urinary Tract Infection. probably unrelated to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-28
Call successful
Not applicable - Accidental Reporting
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-08-24	Pfizer-BioNTech	No
4	2022-03-10	Pfizer-BioNTech	No
5	2022-09-15	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Muscle spasm from right breast to rib cage

2021-01-24

Systemic reaction (other): Muscle strain on chest wall from right breast wrapping around to right ribs

2021-01-25

Systemic reaction (other): Muscle strain on right side from right breast around to right ribs

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): I have had RA since 2005 and have been on DMARDS since the beginning, adding a no logic around 2010 (Enbrel, then Orencia). I had a range of side effects after the second dose and was wondering if it had anything to do with the RA and the meds, so I thought I would share that info.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Carpal Tunnel Syndrome

Healthcare visit (other): Nerve conduction test; visit with the hand surgeon

Release 11 — day 42, dose 4

2022-04-21

Symptoms: Have my first sinus cold since March 2020. I did a COVID test on day 4 of symptoms and it was negative.

Release 12 — 3 months, dose 4

2022-06-11

Symptoms: Carpal tunnel syndrome surgery; Glaucoma; dry eye; lowered hemoglobin; sinus cold

Release 12 — 6 months, dose 4

2022-09-10

Symptoms: 7/26/22 COVID 19 - sore throat, headache, fever, nose congestion, runny nose, cough, fatigue 7 days

Release 12 — day 42, dose 5

2022-10-27

Symptoms: I have a Urinary Tract Infection. probably unrelated to vaccine.

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	·	·	✓
SD	Carpal tunnel decompression	·	·	✓
SD	Carpal tunnel syndrome	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dry eye	·	·	✓
SD	Fatigue	·	·	✓
SD	Glaucoma	·	·	✓
SD	Haemoglobin decreased	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle strain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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