Y73-27499-58996

5 vaccinations 9 coded responses 23 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 121 / NY
Registered: 2021-04-18

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-04-18
Registered in v-safe
2021-04-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 42, dose 2
MedDRA: Headache, Pain, Self-medication — Feeling: Fair

Free text: I feel sore in different parts of my body this whole last week, more than usual, not explained by activities I've been doing like it would normally be. Getting along but am taking ibuprofen at times for it. And noticing headaches, also not normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right hip pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Back disorder, Hypoacusis, Nerve compression, Office visit, Physiotherapy — Feeling: Good · 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: Sudden partial hearing loss in both ears, left ear permanent.Lower back issue, pinched nerve. · Healthcare visit (other): FNP consult, two months later ENT evaluation. PT for back is ongoing

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2021-10-11
Dose 3 — Pfizer-BioNTech
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Exostosis, Heart rate increased, Osteoarthritis — Feeling: Good · 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: 1. Rapid heartbeat incident 2.5 minutes 2. Right hip joint pain, diagnosed as osteoarthritis and bone spurs

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-03-31
Call 1 — Could Not Reach Participant
2022-04-05
Call 2 — Left Voicemail
2022-04-24
Survey response — day 21, dose 4
MedDRA: Arthralgia, Arthritis, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right hip pain arthritis & bone spurs worse

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Dose 5 — Moderna
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-01
Survey response — day 21, dose 5
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, nausea, vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 28, dose 5
MedDRA: Arthralgia, Pain, Pain in extremity, Pre-existing disease — Feeling: Good

Free text: Hip/leg pain worse. Attributed to the work I did yesterday. Not incapacitating, just more pain. Am having a hip replacement soon.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 35, dose 5
MedDRA: Anaesthetic complication, Hip arthroplasty, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Total joint hip replacement - a planned surgery. Seem to get setback from the general anesthesia, been in hospital longer than expected

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-17
Call 3 — Left Voicemail
2022-10-17
Call 2 — Left Voicemail
2022-10-17
Call 1 — Left Voicemail
2022-10-17
Call successful
Not applicable - Accidental Reporting
2022-10-22
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Mild bronchial cold. Partner has pneumonia so I'm not surprised.

MedDRA releases: 2024-11 · check-in free text available
2023-03-10
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No
5	2022-09-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-27	Unsuccessful
2021-09-28	Unsuccessful
2022-03-29	Unsuccessful
2022-04-24	Unsuccessful
2022-10-14	Successful 2022-10-17	Not applicable - Accidental Reporting

Free text

Release 8 — day 42, dose 2

2021-05-10

Symptoms: I feel sore in different parts of my body this whole last week, more than usual, not explained by activities I've been doing like it would normally be. Getting along but am taking ibuprofen at times for it. And noticing headaches, also not normal.

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Right hip pain

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Sudden partial hearing loss in both ears, left ear permanent.Lower back issue, pinched nerve.

Healthcare visit (other): FNP consult, two months later ENT evaluation. PT for back is ongoing

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: 1. Rapid heartbeat incident 2.5 minutes 2. Right hip joint pain, diagnosed as osteoarthritis and bone spurs

Release 11 — day 21, dose 4

2022-04-24

Symptoms: Right hip pain arthritis & bone spurs worse

Release 12 — day 21, dose 5

2022-10-01

Symptoms: Diarrhea, nausea, vomiting

Release 12 — day 28, dose 5

2022-10-07

Symptoms: Hip/leg pain worse. Attributed to the work I did yesterday. Not incapacitating, just more pain. Am having a hip replacement soon.

Release 12 — day 35, dose 5

2022-10-14

Symptoms: Total joint hip replacement - a planned surgery. Seem to get setback from the general anesthesia, been in hospital longer than expected

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Mild bronchial cold. Partner has pneumonia so I'm not surprised.

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Anaesthetic complication	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Back disorder	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Exostosis	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypoacusis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Nerve compression	·	·	✓
SD	Osteoarthritis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Vomiting	·	·	✓

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