6P5-19342-70804

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 030 / NH
Registered: 2021-03-18

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

2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Back pain, Mobility decreased, Pre-existing disease, Unevaluable event, Walking aid user — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had back issues from old injury after bending over to pick something up off the floor. Extreme lower back pain. Difficulty moving around, had to use rolling walker. Rested prone for 2 days and use pain meds. Hubby having issues with his heart. Vs MD · Healthcare visit (other): I followed usual protocol. Hubby saw cardiologist at VA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 21, dose 1
MedDRA: Arthralgia, Headache, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: All over joint discomfort/pain, difficulty with mobility and ADLs.Moderate headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Hubby (b)(6) to add fatigue.

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 — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hubby had the same so. But mostly pain across his shoulders.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: (b)(6) had the same sx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Flank pain, Injection site pruritus, Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swelling pain in chin, patchy areas over right flank, right arm some on hand and right femur area. Some itching of these areas. Urgent care visit put on reducing prednisone, primary put me on Doxycycline x 14 days. · Healthcare visit (other): Primary care visit for Medicare wellness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Had back issues from old injury after bending over to pick something up off the floor. Extreme lower back pain. Difficulty moving around, had to use rolling walker. Rested prone for 2 days and use pain meds. Hubby having issues with his heart. Vs MD cut off by CDC

Healthcare visit (other): I followed usual protocol. Hubby saw cardiologist at VA

Release 7 — day 21, dose 1

2021-04-06

Symptoms: All over joint discomfort/pain, difficulty with mobility and ADLs.Moderate headache.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Hubby (b)(6) to add fatigue.

redacted (b)(6)

2021-04-16

Systemic reaction (other): Hubby had the same so. But mostly pain across his shoulders.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): (b)(6) had the same sx

redacted (b)(6)

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Swelling pain in chin, patchy areas over right flank, right arm some on hand and right femur area. Some itching of these areas. Urgent care visit put on reducing prednisone, primary put me on Doxycycline x 14 days.

Healthcare visit (other): Primary care visit for Medicare wellness

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back disorder	○	·	○
SD	Back pain	✓	·	✓
SD	Flank pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Self-medication	○	·	○
SD	Swelling	✓	✓	✓
SD	Unevaluable event	○	✓	○
SD	Walking aid user	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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