69T-31046-67539

4 vaccinations 12 coded responses 21 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-04-14

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Survey response — day 0, dose 2
MedDRA: Discomfort, Fatigue, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Sleepy, tired, heavy,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tired, sleepy, and shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain on my right back of my head, shoulders pain, sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Shoulder pain, back of my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right shoulder, neck and right back of the head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Neck pain — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Free text: Right shoulder pain, neck and right back of the head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Free text: Back of the head hurts, Shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Arthralgia, Headache, Pyrexia — Feeling: Fair

Free text: Fever, back of the head pain, and shoulder pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 28, dose 2
MedDRA: Pyrexia — Feeling: Fair · Be unable to work

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continue to have the shoulder pain and back of the head pain since the first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Continue with back head pain as well as shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2021-10-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Somnolence — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Diarrhea

Free text: Sleepy

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Chills, Headache, Muscle or body aches

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-21
Dose 4 — Pfizer-BioNTech
2022-06-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No
4	2022-06-21	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Sleepy, tired, heavy,

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Tired, sleepy, and shoulder pain

2021-04-16

Systemic reaction (other): Pain on my right back of my head, shoulders pain, sleepy

2021-04-17

Systemic reaction (other): Shoulder pain, back of my head

2021-04-19

Systemic reaction (other): Right shoulder, neck and right back of the head

2021-04-20

Systemic reaction (other): Right shoulder pain, neck and right back of the head

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Back of the head hurts, Shoulder

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Fever, back of the head pain, and shoulder pain.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Fever

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Continue to have the shoulder pain and back of the head pain since the first vaccination.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Continue with back head pain as well as shoulder pain

Release 10 — days 1–6 daily, dose 3

2021-10-16

Systemic reaction (other): Sleepy

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	Back pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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