65H-21285-19140

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 917 / CA
Registered: 2021-04-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — day 0, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Felt cold, but no chills.

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: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-05-11
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe Fatigue and joint / muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Chest pain, Fatigue, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pains.Muscle pains.Joint pains.Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Acne, Oral disorder — Feeling: Good

Free text: Frequent Oral lesions (roof of mouth, gums) and tongue pimples.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Fatigue, Memory impairment, Myalgia, Neuropathy peripheral, Office visit, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Neuropathy, memory issues, muscle pains, fatigue are back, but still better than pre-vaccine.(Long COVID). · Healthcare visit (other): Appointments scheduled - labs, changed PCP (x2) PRimary Care visit, acupuncturist, mental health provider. Sadly, Getting in takes forever and HMOs are not built for managing issues that are novelnor chronic, however temporary

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — 6 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)
2021-10-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Felt cold, but no chills.

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Severe Fatigue and joint / muscle aches.

Release 8 — day 28, dose 2

2021-05-25

Symptoms: Chest pains.Muscle pains.Joint pains.Fatigue.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Frequent Oral lesions (roof of mouth, gums) and tongue pimples.

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Neuropathy, memory issues, muscle pains, fatigue are back, but still better than pre-vaccine.(Long COVID).

Healthcare visit (other): Appointments scheduled - labs, changed PCP (x2) PRimary Care visit, acupuncturist, mental health provider. Sadly, Getting in takes forever and HMOs are not built for managing issues that are novelnor chronic, however temporary

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	Acne	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neuropathy peripheral	·	·	✓
SD	Oral disorder	✓	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Feeling cold	✓	✓	✓

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