64E-26668-94929

4 vaccinations 10 coded responses 47 check-ins 10 free-text entries 1 call case

Sex: —
Age at first dose: 31-35
ZIP prefix: 139 / NY
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Neck knot and shoulder inflammation and pain on side where shot was given. Not sure if related or not. Also, pain in arm where shot was given, has since gone away, though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity — 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 · Outpatient clinic or urgent care clinic visit

Free text: persistent pain in left arm and shoulder. unsure if connected to vaccination or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 3 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)
2021-07-19
Call 1 — Left Voicemail
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: light-headedness

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: light-headedness and shortness of breath on the stairs

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Sinus congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: light-headedness, sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: prolonged fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: continued fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-21
Dose 4 — Moderna
2022-10-23
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-28
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-04
Survey response — day 14, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-20
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-10-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Sore throat

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Neck knot and shoulder inflammation and pain on side where shot was given. Not sure if related or not. Also, pain in arm where shot was given, has since gone away, though.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: persistent pain in left arm and shoulder. unsure if connected to vaccination or not.

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): light-headedness

2021-10-28

Systemic reaction (other): light-headedness and shortness of breath on the stairs

2021-10-29

Systemic reaction (other): light-headedness, sinus congestion

Release 10 — day 14, dose 3

2021-11-09

Symptoms: prolonged fatigue

Release 10 — day 21, dose 3

2021-11-18

Symptoms: continued fatigue

Release 12 — days 1–6 daily, dose 4

2022-10-23

Systemic reaction (other): sore throat

Release 12 — day 14, dose 4

2022-11-04

Symptoms: diarrhea

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	Arthralgia	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sinus congestion	·	·	✓

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