62W-26786-04691

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 534 / WI
Registered: 2021-03-30

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 21, dose 1
MedDRA: Arthritis, Fatigue, Joint swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arthritis flare up. Swelling of 20+ yr old ankle injury and finger joints. Extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Likely arthritis based symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-29
Survey response — day 7, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Arthritis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swelling in hands and feet. Taking water pill and tests to find out why.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling in feet and hands. Testing for RA in future doc appointment planned.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Laboratory test abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Positive autoimmune blood test. Going to reumatologist for full diagnosis and pain control.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 3 — Moderna
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-01-19
Survey response — day 14, dose 3
MedDRA: Autoimmune disorder, Joint swelling, Musculoskeletal discomfort, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling and irritation of ankle. Old break, and autoimmune issue still undiagnosed · Healthcare visit (other): Podiatrist

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-20
Call 1 — Left Voicemail
2022-01-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2022-01-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-20

Symptoms: Arthritis flare up. Swelling of 20+ yr old ankle injury and finger joints. Extreme fatigue.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Likely arthritis based symptoms.

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Arthritis flare

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Swelling in hands and feet. Taking water pill and tests to find out why.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Tingling in feet and hands. Testing for RA in future doc appointment planned.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Positive autoimmune blood test. Going to reumatologist for full diagnosis and pain control.

Release 10 — day 14, dose 3

2022-01-19

Symptoms: Swelling and irritation of ankle. Old break, and autoimmune issue still undiagnosed

Healthcare visit (other): Podiatrist

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	Arthritis	✓	✓	✓
SD	Autoimmune disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Musculoskeletal discomfort	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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