Y6D-18901-30682

2 vaccinations 15 coded responses 23 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 300 / GA
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Survey response — day 0, dose 1
MedDRA: Muscular weakness, Somnolence — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Drowsy. Weakness on both shoulders , right arm and leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chromaturia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Noticeable change in Irvine color

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches

Free text: Sour Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Little sour-throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sour throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Sour throat & lite cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache

Free text: Running Nose and Sore-throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 14, dose 1
MedDRA: Chills, Dyspnoea, Headache, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I tested positive for Covid on Jan 12th & 13th. Been having chills, headaches sore throat and little shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to work

Free text: Injection site and collar bones.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Collarbone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Collarbone & Vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Back pain, Muscle spasms — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Back ache. Leg Muscles Spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

Free text: I tested positive for Covid again

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	priority 2/3
2021-01-08	priority 2/3
2021-01-18	priority 2/3

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Drowsy. Weakness on both shoulders , right arm and leg.

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Noticeable change in Irvine color

2021-01-06

Systemic reaction (other): Sour Throat

2021-01-07

Systemic reaction (other): Little sour-throat

2021-01-08

Systemic reaction (other): Sour throat

2021-01-09

Systemic reaction (other): Sour throat & lite cough

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Running Nose and Sore-throat

Release 2 — day 14, dose 1

2021-01-18

Symptoms: I tested positive for Covid on Jan 12th & 13th. Been having chills, headaches sore throat and little shortness of breath

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Injection site and collar bones.

2021-01-28

Systemic reaction (other): Collarbone pain

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Collarbone & Vaccine site

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Back ache. Leg Muscles Spasms

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Muscle spasm

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: I tested positive for Covid again

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
SD	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Chromaturia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	○	○	○
SRO	Muscular weakness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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