6SA-75146-21904

4 vaccinations 8 coded responses 28 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 294 / SC
Registered: 2021-03-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

73D-16225-17360 Adult relative or friend · Male · 2021-10-15

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Poor · Headache, Muscle or body aches, Diarrhea

Free text: Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Irritable bowel syndrome, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: IBS-D Diagnosed. · Healthcare visit (other): Dr's appointment in office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-15
Survey response — day 14, dose 3
MedDRA: Arthralgia, Dizziness, Heart rate increased, Musculoskeletal stiffness, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stiff neck, dizziness, joint and muscle pain and high pulse rate.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-10-27
Survey response — day 28, dose 3
MedDRA: Hypoaesthesia, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: My right arm went numb and my RA has gotten worse.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right arm went numb from shoulder to back of hand. Took 30 to 45 minutes for feeling of pins and needles to subside. Right side of neck is continually stiff.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Anaemia, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anemia · Healthcare visit (other): Phone call from Dr's office

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
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

1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-10-20
Survey response — 6 months, dose 4
MedDRA: Diarrhoea, Musculoskeletal stiffness, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, painful, stiff neck. Stiff muscles.

MedDRA releases: 2024-11 · check-in free text available
2023-04-21
Survey response — 12 months, dose 4
MedDRA: Intervertebral disc degeneration, Irritable bowel syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-21
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 · Emergency room or emergency department visit · 1 call case(s)
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Neck ache

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: IBS-D Diagnosed.

Healthcare visit (other): Dr's appointment in office visit

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Stiff neck, dizziness, joint and muscle pain and high pulse rate.

Release 10 — day 28, dose 3

2021-10-27

Symptoms: My right arm went numb and my RA has gotten worse.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Right arm went numb from shoulder to back of hand. Took 30 to 45 minutes for feeling of pins and needles to subside. Right side of neck is continually stiff.

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Anemia

Healthcare visit (other): Phone call from Dr's office

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Diarrhea, painful, stiff neck. Stiff muscles.

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Anaemia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Intervertebral disc degeneration	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SRO	Neck pain	✓	✓	✓

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