67M-15652-84985

3 vaccinations 12 coded responses 27 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 112 / NY
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Pfizer-BioNTech
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Self-medication — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: I took two aspirin late last night and the pain didnt go away so I smeared on Aspercreme and that help me go to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Muscle aches in upper left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feel worse today than last 2 days in the upper left arm/shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Constant pain.. 2 500mg aspirin every few hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-27
Survey response — day 7, dose 2
MedDRA: Injection site pain, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle pain at injection site .. constant pain but relief with aspirin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 14, dose 2
MedDRA: Injection site pain, Myalgia — Feeling: Good

Free text: Last week I woke up with terrible pain at the injection spot every morning... 2 extra strength aspirin helped ... but you know it takes over 30 minutes to numb the pain... Since the pain and muscle ache was worse than the first week I was worried....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 2
MedDRA: Injection site pain, Self-medication, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The pain at the injection site is now 24/7 and I ve had to take aspirin Tylenol and Advil at the same time and rub aspercreme on the spot daily... End it only helps for about 30 minutes and the pain is back on Monday Im going to have to go to the · Healthcare visit (other): Im going to make an appointment on MondayFor a doctor not an online or urgent care where they really dont do much and I dont want to sit for six hours in an emergency room waiting room and possibly catch some thing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 35, dose 2
MedDRA: Arthralgia, Injection site pain, Self-medication, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My left shoulder and the injection site hurt real bad ...constantly... take 2 extra strength aspirin every few hours and use aspercreme on the areas.. Going to make an appointment on Monday with an orthopedic surgeon and hope I can get Cortizone shot · Healthcare visit (other): Appointment with orthopedic surgeon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Injection site pain, Self-medication, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The pain at the injection site is very painful... all the time yet no visible signs of trauma on the skin... Im taking at least 10 aspirin a day which is giving me stomach pain and Im waiting for my appointment with an orthopedic surgeon next w · Healthcare visit (other): Appointment for orthopedic surgeon next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Pfizer-BioNTech
2022-02-20
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I contacted COVID in December

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Call 1 — Requested Callback
2022-03-08
Callback requested for
2022-03-08
Call successful
Participant prefers to complete VAERS report online
2022-03-08
Call successful
Participant prefers to complete VAERS report online
2022-03-08
Call successful
Participant prefers to complete VAERS report online
2022-06-14
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid in December

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · 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: Had COVID from 11/19

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 12 months, dose 3
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)
2022-12-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I took two aspirin late last night and the pain didnt go away so I smeared on Aspercreme and that help me go to sleep

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Muscle aches in upper left arm

2021-02-22

Systemic reaction (other): Feel worse today than last 2 days in the upper left arm/shoulder

2021-02-24

Systemic reaction (other): Constant pain.. 2 500mg aspirin every few hours

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): Muscle pain at injection site .. constant pain but relief with aspirin

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Last week I woke up with terrible pain at the injection spot every morning... 2 extra strength aspirin helped ... but you know it takes over 30 minutes to numb the pain... Since the pain and muscle ache was worse than the first week I was worried.... cut off by CDC

Release 6 — day 28, dose 2

2021-03-20

Symptoms: The pain at the injection site is now 24/7 and I ve had to take aspirin Tylenol and Advil at the same time and rub aspercreme on the spot daily... End it only helps for about 30 minutes and the pain is back on Monday Im going to have to go to the

Healthcare visit (other): Im going to make an appointment on MondayFor a doctor not an online or urgent care where they really dont do much and I dont want to sit for six hours in an emergency room waiting room and possibly catch some thing

Release 6 — day 35, dose 2

2021-03-27

Symptoms: My left shoulder and the injection site hurt real bad ...constantly... take 2 extra strength aspirin every few hours and use aspercreme on the areas.. Going to make an appointment on Monday with an orthopedic surgeon and hope I can get Cortizone shot cut off by CDC

Healthcare visit (other): Appointment with orthopedic surgeon

Release 6 — day 42, dose 2

2021-04-05

Symptoms: The pain at the injection site is very painful... all the time yet no visible signs of trauma on the skin... Im taking at least 10 aspirin a day which is giving me stomach pain and Im waiting for my appointment with an orthopedic surgeon next w

Healthcare visit (other): Appointment for orthopedic surgeon next week

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: I contacted COVID in December

Release 12 — 6 months, dose 3

2022-06-14

Symptoms: Had Covid in December

Release 12 — 12 months, dose 3

2022-12-14

Symptoms: Had COVID from 11/19

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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