7XG-91470-79093

6 vaccinations 15 coded responses 26 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 100 / NY
Registered: 2021-04-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light Stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My right arm aches under where injection was. It was a problem for a few days but not as much today..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: Waiting for G.I endoscopy upper and lower reaults for xaily stomach issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Biopsy — Feeling: Good · Chills, Abdominal pain · Be unable to do your normal daily activities

Free text: I'm still waiting for biopsy reaults from endoscopy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — day 21, dose 1
MedDRA: Limb discomfort, Office visit, Vein disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Right vein and arm bother me. I went to William F Ryan center yesterday they said o look fine. Just keep track of it. Check in two weeks if worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Dose 2 — Pfizer-BioNTech
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Nausea, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Before today my arm was really hurting. I had chills and slightly nausea. Also veins in same arm sensitive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Warm but no fever. Since first dose and this dose my arm bothers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 7, dose 2
MedDRA: Injection site discomfort, Limb discomfort — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I don't know if its the muscle or joints around shot in that arm but at times it bothers enough to leave hand down. And left arm discomfort as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 14, dose 2
MedDRA: Constipation, Emergency care, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm injection sitethrobs with pain thay comes and goes. After cleaning or pulling shopping cart home arm is sore a few days. Also Constipated. Went to ER Friday 21. Drinking Maralax and so on. Still unbalanced in general.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Survey response — day 35, dose 2
MedDRA: Anxiety, Chest pain, Depression, Fatigue, Heavy menstrual bleeding, Menstruation delayed, Office visit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Late strong mentral flow. Left chest pain or as the cardiology woman said it could be skeletal pain not related. Today I'm started heart monitor ynril Wednsday of this weej. Tired every day especially when i eat. I have highl anxiety and depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 42, dose 2
MedDRA: Bone pain, Breast tenderness, Dizziness, Fatigue, Musculoskeletal chest pain, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My left breast or chest has been sensitive to the touch started before 6/11 and now still. Bones or body aches still. Tired especially after i eat.My head still feels unbalanced,Im okay. I wonder if covid vaccines plays apart in my breast health.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-08
Survey response — 6 months, dose 2
MedDRA: Fatigue, Injection site pain, Office visit, Pain in extremity, Pre-existing disease, Sinus headache, Tinnitus, Vitamin D decreased — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Every day whole right arm and same spot as covid vaccine injection spot hurts/sore. New tinnitus in ears,Sinus with headaches due I believe from on going dental issues.Tired all the time. Low vitamin D. · Healthcare visit (other): Dentist. MRI and mental health.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail
2021-11-15
Call successful
Does not wish to fill out VAERS report
2021-11-23
Dose 3 — Pfizer-BioNTech
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-05-03
Survey response — day 7, dose 4
MedDRA: Blood iron decreased, Menstruation delayed — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Low Iron.Menstration is over a month late.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Survey response — day 42, dose 4
MedDRA: Haemorrhage, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I've had my monthly menstrual cycle sunce 6/4/2022 · Healthcare visit (other): Heavy bleeding

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-06-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-20
Dose 5 — Pfizer-BioNTech
2022-10-20
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-20
Survey response — 3 months, dose 5
MedDRA: Asthenia, Balance disorder, Office visit, Pain, Pain in extremity — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Not only has my right arm been hurting daily but now so dies my left arm. I'm still off balance but that might be because of dental issue. Basically my bones or muscles? I don't know which), is in pain daily. I'm weak. · Healthcare visit (other): Visits to my PCP, and reaching out to (b)(6) care management.

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-21
Call successful
Participant prefers to complete VAERS report online
2023-05-03
Dose 6 — Pfizer-BioNTech
2023-05-09
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-10	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	No
6	2023-05-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-08	Successful 2021-11-15	Does not wish to fill out VAERS report
2022-06-02	Successful 2022-06-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-20	Successful 2022-12-21	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): Light Stomach ache

2021-04-20

Systemic reaction (other): My right arm aches under where injection was. It was a problem for a few days but not as much today..

2021-04-21

Systemic reaction (other): Waiting for G.I endoscopy upper and lower reaults for xaily stomach issues

2021-04-22

Systemic reaction (other): I'm still waiting for biopsy reaults from endoscopy.

Release 8 — day 21, dose 1

2021-05-07

Symptoms: Right vein and arm bother me. I went to William F Ryan center yesterday they said o look fine. Just keep track of it. Check in two weeks if worse.

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Before today my arm was really hurting. I had chills and slightly nausea. Also veins in same arm sensitive.

2021-05-16

Systemic reaction (other): Warm but no fever. Since first dose and this dose my arm bothers.

Release 8 — day 7, dose 2

2021-05-19

Systemic reaction (other): I don't know if its the muscle or joints around shot in that arm but at times it bothers enough to leave hand down. And left arm discomfort as well.

Release 8 — day 14, dose 2

2021-05-24

Symptoms: Arm injection sitethrobs with pain thay comes and goes. After cleaning or pulling shopping cart home arm is sore a few days. Also Constipated. Went to ER Friday 21. Drinking Maralax and so on. Still unbalanced in general.

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Late strong mentral flow. Left chest pain or as the cardiology woman said it could be skeletal pain not related. Today I'm started heart monitor ynril Wednsday of this weej. Tired every day especially when i eat. I have highl anxiety and depression. cut off by CDC

Release 9 — day 42, dose 2

2021-06-21

Symptoms: My left breast or chest has been sensitive to the touch started before 6/11 and now still. Bones or body aches still. Tired especially after i eat.My head still feels unbalanced,Im okay. I wonder if covid vaccines plays apart in my breast health.

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: Every day whole right arm and same spot as covid vaccine injection spot hurts/sore. New tinnitus in ears,Sinus with headaches due I believe from on going dental issues.Tired all the time. Low vitamin D.

Healthcare visit (other): Dentist. MRI and mental health.

Release 11 — day 7, dose 4

2022-05-03

Systemic reaction (other): Low Iron.Menstration is over a month late.

Release 11 — day 42, dose 4

2022-06-02

Symptoms: I've had my monthly menstrual cycle sunce 6/4/2022

Healthcare visit (other): Heavy bleeding

Release 12 — 3 months, dose 5

2022-12-20

Symptoms: Not only has my right arm been hurting daily but now so dies my left arm. I'm still off balance but that might be because of dental issue. Basically my bones or muscles? I don't know which), is in pain daily. I'm weak.

Healthcare visit (other): Visits to my PCP, and reaching out to (b)(6) care management.

redacted (b)(6)

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	Haemorrhage	·	·	✓
HCVO	Office visit	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Balance disorder	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus headache	·	·	✓
SD	Tinnitus	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vein disorder	✓	✓	✓
SD	Vitamin D decreased	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Biopsy	✓	✓	✓
SRO	Blood iron decreased	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Menstruation delayed	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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