64L-24209-39508

3 vaccinations 4 coded responses 37 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 980 / WA
Registered: 2020-12-23

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

Registered dependents

B69-26621-95654 Child or adolescent in my care · Female · 2021-06-14

XLT-34315-01081 Child or adolescent in my care · Male · 2021-11-14

Timeline

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Survey response — day 0, dose 1
MedDRA: Neck pain, Pain in extremity — Feeling: Good

Free text: Upper arm is sore- not exactly injection site. Also have mild neck pain - not exactly headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 2
MedDRA: Cardiac flutter, Heart rate increased — Feeling: Fair

Free text: Daily episodes of heart fluttering 2-4 times a day - occur randomly and last for a few seconds - highest HR measured is 90s- normal HR is 60s- occurs at rest - not Ortho static

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 28, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: I continue to have a sensation of daily palpitations short lived a few seconds random but unsettling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 0, dose 3
MedDRA: Arthralgia, Fatigue, Immediate post-injection reaction, Tachycardia — Feeling: Good · Site: Pain

Free text: Mild tachycardia - for 15 minutes - within 30 min of getting the vaccine- soreness Around both shoulders, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-23

Systemic reaction (other): Upper arm is sore- not exactly injection site. Also have mild neck pain - not exactly headache.

Release 3 — day 21, dose 2

2021-02-04

Symptoms: Daily episodes of heart fluttering 2-4 times a day - occur randomly and last for a few seconds - highest HR measured is 90s- normal HR is 60s- occurs at rest - not Ortho static

Release 4 — day 28, dose 2

2021-02-11

Symptoms: I continue to have a sensation of daily palpitations short lived a few seconds random but unsettling

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): Mild tachycardia - for 15 minutes - within 30 min of getting the vaccine- soreness Around both shoulders, fatigue.

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	Cardiac flutter	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tachycardia	·	·	✓

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