6LV-22292-60509

3 vaccinations 7 coded responses 17 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 190 / PA
Registered: 2021-04-23

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia, Fatigue, Hypersensitivity, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased allergy symptoms runny nose sneezing, increased joint aches, extreme fatigue/weakness, temp max 99.0&

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue increased seasonal allergy runny nose/congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Back pain, Muscular weakness, Neck pain, Office visit, Pain in extremity — 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: Symptoms: Dropping things increased neck back and extremity pain · Healthcare visit (other): Routine office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Hand fracture, Nervous system disorder, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Neurological problems due to neck/back, broke fingerRheumatologist ordered me to have 3rd coronavirus vaccination due to RA treatment with the Jak inhibitor Xeljantz

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-30
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-05
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Glossodynia — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Sore tongue

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-07
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-13
Call 1 — Left Voicemail
2021-10-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Survey response — day 42, dose 3
MedDRA: Back pain, Condition aggravated, Gait inability, Pain in extremity, Pre-existing disease — 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

Free text: Back pain thigh pain unable to walk worsening fibromyalgia upper extremities

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 42, dose 3
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)
2021-11-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Cough, Gait disturbance, Impaired driving ability, Muscle spasms, Pain, Pain of skin, Pyrexia, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Poor · 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: Severe muscle spasms affecting walking and driving. Respiratory ax: coughing fever body pain skin pain Tested negative for coronavirus

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 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)
2022-01-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	Flu

Call center

6 call center cases

4 successful · 2 unsuccessful

See the call center timeline

Free text

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Increased allergy symptoms runny nose sneezing, increased joint aches, extreme fatigue/weakness, temp max 99.0&

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Severe fatigue increased seasonal allergy runny nose/congestion

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Dropping things increased neck back and extremity pain

Healthcare visit (other): Routine office visit

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Neurological problems due to neck/back, broke fingerRheumatologist ordered me to have 3rd coronavirus vaccination due to RA treatment with the Jak inhibitor Xeljantz

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Sore tongue

Release 10 — day 42, dose 3

2021-11-13

Symptoms: Back pain thigh pain unable to walk worsening fibromyalgia upper extremities

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Severe muscle spasms affecting walking and driving. Respiratory ax: coughing fever body pain skin pain Tested negative for coronavirus

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	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Gait inability	·	·	✓
SD	Hand fracture	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Impaired driving ability	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Nervous system disorder	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain of skin	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Glossodynia	·	·	✓

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