6Q4-31128-81191

3 vaccinations 9 coded responses 33 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 532 / WI
Registered: 2021-02-07

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

2021-02-06
Dose 1 — Pfizer-BioNTech
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Sleep disorder — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I couldn't sleep long enough due to pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dysstasia, Muscular weakness, Walking aid user — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Weakness at left hip. Lose balance without a cane. Trouble getting up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Could be unrelated to vaccine. I have Fibromyalgia and osteoarthritis. Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Fatigue, Flatulence, Insomnia, Lactose intolerance, Nausea, Ocular hyperaemia, Seasonal allergy, Sinus pain, Urinary tract infection, Vomiting, Wheezing — Feeling: Fair

Free text: 2 days nausea, gas vomiting but have lactose intolerance. Wheezing, sinus pain, red eyes but have seasonal allergies. Insomnia, fatigue; studying for career technical exam. UTI.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Fibromyalgia, arthritis, allergies can cause headache, muscle and body aches..

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-11-29
Survey response — day 7, dose 3
MedDRA: Gastrointestinal disorder, Sinus headache — Feeling: Fair · Headache, Diarrhea, Abdominal pain

Free text: Could be sinus headache. GI issues might be unrelated to booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Wheezing — Feeling: Good

Free text: A little wheezing in the morning. More sinus congestion in the same side that's usually plugged. Normal for me several times a year.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Cough, Discharge, Pain, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair

Free text: Lingering sinus infection, drainage, pain and slight cough. Home tests negative for COVID-19.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Survey response — 6 months, dose 3
MedDRA: Asthma, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis, Viral infection — Feeling: Good · 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: Diagnosed as a different virus, a cold. Lab test ruled out COVID. Asthma, chest congestion, sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-22
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): I couldn't sleep long enough due to pain.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Weakness at left hip. Lose balance without a cane. Trouble getting up.

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Could be unrelated to vaccine. I have Fibromyalgia and osteoarthritis. Pain

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: 2 days nausea, gas vomiting but have lactose intolerance. Wheezing, sinus pain, red eyes but have seasonal allergies. Insomnia, fatigue; studying for career technical exam. UTI.

Release 10 — days 1–6 daily, dose 3

2021-11-26

Systemic reaction (other): Fibromyalgia, arthritis, allergies can cause headache, muscle and body aches..

Release 10 — day 7, dose 3

2021-11-29

Systemic reaction (other): Could be sinus headache. GI issues might be unrelated to booster

Release 10 — day 42, dose 3

2022-01-03

Symptoms: A little wheezing in the morning. More sinus congestion in the same side that's usually plugged. Normal for me several times a year.

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Lingering sinus infection, drainage, pain and slight cough. Home tests negative for COVID-19.

Release 11 — 6 months, dose 3

2022-05-23

Symptoms: Diagnosed as a different virus, a cold. Lab test ruled out COVID. Asthma, chest congestion, sinus infection.

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	Asthma	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Discharge	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lactose intolerance	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Viral infection	·	·	✓
SD	Vomiting	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus headache	·	·	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Walking aid user	✓	✓	✓

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