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68W-90269-99563

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
600 / IL
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Joint injury — Feeling: Fair · Fatigue or tiredness
    Free text: Wrist discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Lethargy, Malaise — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Feel very lethargic with pain I both wrists and a bit in right elbow. General feeling of not being well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Good · Muscle or body aches
    Free text: Wrist joint discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Very tired and no energy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Joint pains
    Free text: Very mild tiredness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-25
    Survey response — day 7, dose 1
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Very mild wrist pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-11
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  15. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  17. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  18. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  19. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-08
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Fatigue, Joint swelling, Malaise, Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bad pain swelling in thumb/palm area of left hand and wrist area. Same is true to lesser degree in right thumb/palm joint area. Feeling very tired and general not feeling well. Feel inflammatory condition. Worried about rheumatoid arthritis reactivat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-10
    Survey response — 3 months, dose 2
    MedDRA: Knee arthroplasty, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Good
    Free text: Had preop test for Covid approx 5/14, surgery was scheduled for 17th but cnxld due to Positive on PCR test. No symptoms, had surgery last Thurs for knee replacement and doing fine. Absolutely no Covid symptoms. (b)(6) County DEPT of Health contacted
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-09-11
    Survey response — 6 months, dose 2
    MedDRA: Laboratory test abnormal, Quarantine — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tested positive to Mt PCR test prior to knee replacement surgery in May. I had no symptoms but told I was a symptomatic by medical person cancelling sched surgery. Had to quarantine for 10 days and doctors office rescheduled surgery for 6/3. · Healthcare visit (other): Just told to quarantine for 10 days. Told by Health DEPT I probably had a large molecule breakthrough.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-09-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-09-16
  28. 2021-09-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2021-10-04
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pruritus, Self-medication — Feeling: Good
    Free text: 1 1/2 hrs after shot on 10/4/21 experienced itching. Lasted about 2 hrs. Took 1 Benadryl and 1 hr later gone.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  40. 2022-01-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-04
    Survey response — 6 months, dose 3
    MedDRA: Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Heart palpitations. Seeing cardiologist for treatment. 3 other friends are experiencing same and they also had CIVID vaccinations. · Healthcare visit (other): Visit doctor's office
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-04
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  43. 2022-04-05
  44. 2022-10-06
    Survey response — 12 months, dose 3
    MedDRA: Fatigue, Office visit, Palpitations, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I've come down with heart palpitations, cardiologist has me on Metatoprol and I've also come down with Psoriasis, which is being treated for by dermatologist. I have spells of tiredness which I never had prior to vaccinations. Just don't feel like. · Healthcare visit (other): Doctors' offices
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-06
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  46. 2022-10-07
    Call successful
    Participant prefers to complete VAERS report online
  47. 2022-10-07
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Pfizer-BioNTech
22021-03-11Pfizer-BioNTech
32021-10-04Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Wrist discomfort

2021-02-21

Systemic reaction (other): Feel very lethargic with pain I both wrists and a bit in right elbow. General feeling of not being well.

2021-02-22

Systemic reaction (other): Wrist joint discomfort

2021-02-23

Systemic reaction (other): Very tired and no energy.

2021-02-24

Systemic reaction (other): Very mild tiredness.

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): Very mild wrist pain.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Bad pain swelling in thumb/palm area of left hand and wrist area. Same is true to lesser degree in right thumb/palm joint area. Feeling very tired and general not feeling well. Feel inflammatory condition. Worried about rheumatoid arthritis reactivat cut off by CDC

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Had preop test for Covid approx 5/14, surgery was scheduled for 17th but cnxld due to Positive on PCR test. No symptoms, had surgery last Thurs for knee replacement and doing fine. Absolutely no Covid symptoms. (b)(6) County DEPT of Health contacted cut off by CDC
redacted (b)(6)

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Tested positive to Mt PCR test prior to knee replacement surgery in May. I had no symptoms but told I was a symptomatic by medical person cancelling sched surgery. Had to quarantine for 10 days and doctors office rescheduled surgery for 6/3.
Healthcare visit (other): Just told to quarantine for 10 days. Told by Health DEPT I probably had a large molecule breakthrough.

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): 1 1/2 hrs after shot on 10/4/21 experienced itching. Lasted about 2 hrs. Took 1 Benadryl and 1 hr later gone.

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Heart palpitations. Seeing cardiologist for treatment. 3 other friends are experiencing same and they also had CIVID vaccinations.
Healthcare visit (other): Visit doctor's office

Release 12 — 12 months, dose 3

2022-10-06

Symptoms: I've come down with heart palpitations, cardiologist has me on Metatoprol and I've also come down with Psoriasis, which is being treated for by dermatologist. I have spells of tiredness which I never had prior to vaccinations. Just don't feel like. cut off by CDC
Healthcare visit (other): Doctors' offices

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOQuarantine · · ✓
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDKnee arthroplasty ✓ ✓ ✓
SDLaboratory test abnormal · · ✓
SDMalaise ✓ ✓ ✓
SDOffice visit · · ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPsoriasis · · ✓
SDQuarantine · · ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROJoint injury ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SROPruritus · · ✓
SROSelf-medication · · ✓

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

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