H2B-17850-17830

5 vaccinations 7 coded responses 22 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 980 / WA
Registered: 2020-12-30

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

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Noticed some light muscle pain on side of right my right thigh. About three days now. I didn't connect the dot. I though I was sleeping on the right side too much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Headache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches

Free text: Headache, light headed (could be BP, and sleep jays nigh).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Headache, Hypertension, Pain in extremity, SARS-CoV-2 test negative — Feeling: Good · Headache

Free text: Sunday night I Went to ER with throbbing headache, arm pain, high BP. Given covid test/result today is negative. Feeling better today/Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-07-01
Survey response — 6 months, dose 1
MedDRA: Abdominal pain upper, Axillary pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Paint in armpit, from the 2nd vaccine, Cambridge stillborn be felt when clothing/bras rubs against my armpit. Experiencing stomach aches the last month or so. · Healthcare visit (other): Office visit stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 2 — Left Voicemail
2021-09-09
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-12-30
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Frequent bowel movements — Feeling: Fair · Muscle or body aches · Be unable to work or attend school

Free text: Frequent bowl movements Saturday - Monday after the vaccine on Friday April 22nd. Also some pain in left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Myalgia — Feeling: Good

Free text: I had some muscle aches in left hip/lower back for about 2days ago this week that I overlooked.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-11
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2023-05-12
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Bunion operation, Eczema, Office visit, Pain in extremity, Physiotherapy, Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-12
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-15
Call 1 — Left Voicemail
2023-05-15
Call 1 — Left Voicemail
2023-05-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-15
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	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech	No
3	2021-09-09	Pfizer-BioNTech	Flu
4	2022-04-22	Pfizer-BioNTech	No
5	2022-11-11	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-01	Successful 2023-05-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-12	Successful 2023-05-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Noticed some light muscle pain on side of right my right thigh. About three days now. I didn't connect the dot. I though I was sleeping on the right side too much.

2021-01-03

Systemic reaction (other): Headache, light headed (could be BP, and sleep jays nigh).

2021-01-04

Systemic reaction (other): Sunday night I Went to ER with throbbing headache, arm pain, high BP. Given covid test/result today is negative. Feeling better today/Monday.

Release 9 — 6 months, dose 1

2021-07-01

Symptoms: Paint in armpit, from the 2nd vaccine, Cambridge stillborn be felt when clothing/bras rubs against my armpit. Experiencing stomach aches the last month or so.

Healthcare visit (other): Office visit stomach pain

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Frequent bowl movements Saturday - Monday after the vaccine on Friday April 22nd. Also some pain in left armpit

2022-04-28

Systemic reaction (other): I had some muscle aches in left hip/lower back for about 2days ago this week that I overlooked.

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	Abdominal pain upper	✓	✓	✓
HCVO	Arthralgia	·	·	✓
HCVO	Bunion operation	·	·	✓
HCVO	Eczema	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain in extremity	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Eczema	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Frequent bowel movements	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓

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