BZQ-20015-30586

3 vaccinations 14 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 981 / WA
Registered: 2021-04-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

KXA-39816-86088 Child or adolescent in my care · Male · 2021-11-28

Timeline

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

2021-04-19
Dose 1 — Pfizer-BioNTech
2021-04-20
Registered in v-safe
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-05-03
Survey response — day 14, dose 1
MedDRA: Cough, Wheezing — Feeling: Good

Free text: Coughing and occasional wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Dose 2 — Pfizer-BioNTech
2021-05-10
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Wheezing prior to getting second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 21, dose 2
MedDRA: Cough, Musculoskeletal chest pain, Sneezing, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wheezing and coughing with left side pain near rib cage that feels like a stabbing pain when coughing, sneezing, or laughing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Neck pain, Pre-existing disease — Feeling: Good

Free text: Shoulder and neck pain issues which are probably due to my fibromyalgia and not related to the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-10
Survey response — 6 months, dose 2
MedDRA: Ear discomfort, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck pain and ear pressure

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Dose 3 — Pfizer-BioNTech
Co-administered: Pneumonia
2022-03-28
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-03-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-03-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-03-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-04-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Nasal congestion, Wheezing — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Coughing and wheezing plus stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — day 7, dose 3
MedDRA: Abdominal pain upper, Flatulence — Feeling: Good · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Gas buildup and stomach cramps

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — day 14, dose 3
MedDRA: Bronchitis, Cough, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Bronchitis with coughing and wheezing spells

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — day 21, dose 3
MedDRA: Bronchitis, Ear disorder, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bronchitis and now dealing with what I think is a middle ear infection with swollen lymph nodes on my neck behind ear

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hacking cough with phlegm and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — day 35, dose 3
MedDRA: Bronchitis, Productive cough, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bronchitis going on 3 weeks with a nasty productive cough and wheezing.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — day 42, dose 3
MedDRA: Arthralgia, Bronchitis, Cough, Pain in extremity, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intense throbbing pain of right hip and leg at hip socket plus still coughing and wheezing from bronchitis going on 3 weeks now

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-09-26
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Diabetic foot, Dysstasia, Hypoaesthesia, Pain, Pre-existing disease, Sitting disability — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diabetic ulcers on left thigh, left arm numbness and throbbing pain, and excruciating left knee pain when going from sitting to standing obviously due to bulging disc in my lower back pushing into sciatica nerve

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Survey response — 12 months, dose 3
MedDRA: Dyspnoea, Intervertebral disc protrusion, Medical counselling, Mobility decreased, Peripheral swelling, Pre-existing disease, Pruritus, Skin ulcer, Wheezing — 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

MedDRA releases: 2024-11
2023-03-29
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-03-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Pfizer-BioNTech
2	2021-05-10	Pfizer-BioNTech
3	2022-03-28	Pfizer-BioNTech	Pneumonia

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-03

Symptoms: Coughing and occasional wheezing

Release 8 — day 0, dose 2

2021-05-10

Systemic reaction (other): Wheezing prior to getting second dose

Release 8 — day 21, dose 2

2021-05-31

Symptoms: Wheezing and coughing with left side pain near rib cage that feels like a stabbing pain when coughing, sneezing, or laughing.

Release 9 — 3 months, dose 2

2021-08-09

Symptoms: Shoulder and neck pain issues which are probably due to my fibromyalgia and not related to the vaccine

Release 10 — 6 months, dose 2

2021-11-10

Symptoms: Neck pain and ear pressure

Release 11 — days 1–6 daily, dose 3

2022-04-03

Systemic reaction (other): Coughing and wheezing plus stuffy nose

Release 11 — day 7, dose 3

2022-04-04

Systemic reaction (other): Gas buildup and stomach cramps

Release 11 — day 14, dose 3

2022-04-11

Symptoms: Bronchitis with coughing and wheezing spells

Release 11 — day 21, dose 3

2022-04-18

Symptoms: Bronchitis and now dealing with what I think is a middle ear infection with swollen lymph nodes on my neck behind ear

Release 11 — day 28, dose 3

2022-04-25

Symptoms: Hacking cough with phlegm and sore throat

Release 11 — day 35, dose 3

2022-05-02

Symptoms: Bronchitis going on 3 weeks with a nasty productive cough and wheezing.

Release 11 — day 42, dose 3

2022-05-09

Symptoms: Intense throbbing pain of right hip and leg at hip socket plus still coughing and wheezing from bronchitis going on 3 weeks now

Release 12 — 6 months, dose 3

2022-09-26

Symptoms: Diabetic ulcers on left thigh, left arm numbness and throbbing pain, and excruciating left knee pain when going from sitting to standing obviously due to bulging disc in my lower back pushing into sciatica nerve

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	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	✓	✓	✓
SD	Diabetic foot	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dysstasia	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear disorder	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Intervertebral disc protrusion	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Productive cough	·	·	✓
SD	Pruritus	·	·	✓
SD	Sitting disability	·	·	✓
SD	Skin ulcer	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Cough	·	·	✓
SRO	Flatulence	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Wheezing	·	·	✓

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