6YE-28609-07321

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 450 / OH
Registered: 2021-03-02

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia — Feeling: Good · Fatigue or tiredness

Free text: Some loss of taste that comes and goes since having actual COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Axillary pain, Heart rate increased, Heart rate irregular, Oedema peripheral — Feeling: Good

Free text: Soreness and lumps in armpit on vaccine armIrregular/fast heart rate like I had when I was positive for COVID 19 back in January

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Hyperhidrosis, Myalgia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Overnight chills,sweats, joint and muscle pain. Last 8 hours then felt fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: Slight blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: Loss of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Dyspnoea, Pain — Feeling: Good

Free text: Random shooting pain in some joints including fingersSome breathing issues under physical stress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Headache, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Shooting pain in random joints continues to happen.Random intense headaches. Increased level of food sensitivities and environmental allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — 12 months, dose 2
MedDRA: Injected limb mobility decreased, Injection site pain, Neuralgia, Office visit, Physiotherapy, Rotator cuff syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Just after my booster I began having pain in the injected arm near the site of injection. Pain escalated over a couple of months. Surgeon stated impinged shoulder. Nerve pain going down arm. Now in physical therapy 2x/week to regain mobility. · Healthcare visit (other): Surgeon review of symptoms/ X-ray

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Some loss of taste that comes and goes since having actual COVID

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Soreness and lumps in armpit on vaccine armIrregular/fast heart rate like I had when I was positive for COVID 19 back in January

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Overnight chills,sweats, joint and muscle pain. Last 8 hours then felt fine

2021-03-29

Systemic reaction (other): Slight blurred vision

2021-03-30

Systemic reaction (other): Loss of taste

2021-03-31

Systemic reaction (other): Loss of taste

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Random shooting pain in some joints including fingersSome breathing issues under physical stress

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Shooting pain in random joints continues to happen.Random intense headaches. Increased level of food sensitivities and environmental allergies.

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Just after my booster I began having pain in the injected arm near the site of injection. Pain escalated over a couple of months. Surgeon stated impinged shoulder. Nerve pain going down arm. Now in physical therapy 2x/week to regain mobility.

Healthcare visit (other): Surgeon review of symptoms/ X-ray

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	Axillary pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Injected limb mobility decreased	·	·	✓
SD	Injection site pain	·	·	✓
SD	Neuralgia	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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