Y86-32266-46379

4 vaccinations 11 coded responses 29 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 291 / SC
Registered: 2021-03-21

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

2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-22
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
2021-03-23
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
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Hip arthroplasty — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Day after the vaccine i got bruises near my hip replacements, both sides

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Muscle spasms — Feeling: Good

Free text: Pain and cramping at hips which were replaced in 2013

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Free text: Mild general itching all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feels like something is pulling inside near the injection site

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

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Muscle and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Muscle and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Dose 3 — Pfizer-BioNTech
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Type 2 diabetes mellitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Type 2 Diabetes

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-14
Call successful
Participant prefers to complete VAERS report online
2022-06-22
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-06-29
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-06
Survey response — day 14, dose 4
MedDRA: Chest pain, Dyspnoea, False negative investigation result, Headache, Insomnia, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Head and body aches, shortness of breath, chest pain, congestion, runny nose, trouble sleeping. Even though my tests have been negative my doctor says that i am positive

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-27
Survey response — day 35, dose 4
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-22
Survey response — 12 months, dose 4
MedDRA: Cerebral haemorrhage, Fibromyalgia — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2022-01-05	Pfizer-BioNTech	No
4	2022-06-22	Pfizer-BioNTech	Shingles

Call center

Reported	Outcome	VAERS-related outcome
2022-04-09	Successful 2022-04-14	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Day after the vaccine i got bruises near my hip replacements, both sides

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Pain and cramping at hips which were replaced in 2013

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Mild general itching all over

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Feels like something is pulling inside near the injection site

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Muscle and joint pain

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Muscle and joint pain

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Trouble sleeping

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Type 2 Diabetes

Release 12 — day 14, dose 4

2022-07-06

Symptoms: Head and body aches, shortness of breath, chest pain, congestion, runny nose, trouble sleeping. Even though my tests have been negative my doctor says that i am positive

Release 12 — day 35, dose 4

2022-07-27

Symptoms: Headache

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	Arthralgia	✓	✓	✓
SD	Cerebral haemorrhage	·	·	✓
SD	Chest pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	False negative investigation result	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Type 2 diabetes mellitus	·	·	✓
SRO	Hip arthroplasty	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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