6FL-24605-79683

4 vaccinations 11 coded responses 23 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 984 / WA
Registered: 2021-02-27

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: Behind my ears where my Oxygen tubing lays.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No, but some of above is normal for me, I have emphysema and am 76 years old.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These are not unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This is normal for me much of the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This is normal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
2022-03-14
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-20
Survey response — day 14, dose 4
MedDRA: Fatigue, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit

Free text: Very tired but not sure what is causing it, I do have emphysema, and other issues: Thrombocytosy, Nuropathy andDegerative disk disease.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Survey response — day 28, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Survey response — day 42, dose 4
MedDRA: Arthralgia, Back pain, Cough, Fatigue, Loss of personal independence in daily activities, Secretion discharge, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mucus has increased significantly and coloring is getting gray! I'm coughing much more. Exhausted most of the time. My back, knee, hip pain isn't being controlled enough to rest or clean my home.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Balance disorder, Dizziness, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tiered, no amount of sleep helps. Head ales that make me unsteady on my feet.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 6 months, dose 4
MedDRA: COVID-19, Fatigue, Headache, SARS-CoV-2 test negative — 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, 09/15/2022 finally got a negative on 10-01-2022. Still head akes and very tired. Dr prescribed Paxavid on Oct 16, 2022 and I took it all. Then on 09/27/22 Dr(b)(6) prescribed Doxycline 100 mg and Prednisone 10 mg descending dose .

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — 6 months, dose 4
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)
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 1 — Left Voicemail
2022-10-06
Call successful
Participant prefers to complete VAERS report online
2022-10-06
Call successful
Participant prefers to complete VAERS report online
2023-04-06
Survey response — 12 months, dose 4
MedDRA: Depressed mood, Dysstasia, Muscle spasms, Office visit, Tendon disorder, Tendon pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-06
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No
4	2022-04-06	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Behind my ears where my Oxygen tubing lays.

2021-03-01

Systemic reaction (other): No, but some of above is normal for me, I have emphysema and am 76 years old.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): These are not unusual for me.

2021-03-04

Systemic reaction (other): This is normal for me much of the time.

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): This is normal for me.

Release 11 — day 14, dose 4

2022-04-20

Symptoms: Very tired but not sure what is causing it, I do have emphysema, and other issues: Thrombocytosy, Nuropathy andDegerative disk disease.

Release 11 — day 28, dose 4

2022-05-04

Symptoms: Joint pain

Release 11 — day 42, dose 4

2022-05-18

Symptoms: Mucus has increased significantly and coloring is getting gray! I'm coughing much more. Exhausted most of the time. My back, knee, hip pain isn't being controlled enough to rest or clean my home.

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Very tiered, no amount of sleep helps. Head ales that make me unsteady on my feet.

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Had Covid, 09/15/2022 finally got a negative on 10-01-2022. Still head akes and very tired. Dr prescribed Paxavid on Oct 16, 2022 and I took it all. Then on 09/27/22 Dr(b)(6) prescribed Doxycline 100 mg and Prednisone 10 mg descending dose .

redacted (b)(6)

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Balance disorder	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Depressed mood	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysstasia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Tendon disorder	·	·	✓
SD	Tendon pain	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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