YBZ-63715-47517

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 828 / WY
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Arm soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: Itched all over and had to put Deep Blue on all muscles at 845 a.m. thwn was better.etter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains

Free text: OA, so relative to joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Osteoarthritis — Feeling: Good · Joint pains

Free text: OA for joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Muscle atrophy, Osteoarthritis, Pre-existing disease, Pruritus — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): OA, and other pre-existing back issues · Healthcare visit (other): True for all days since injection, may not have answered correctly on prior days...to clarify, joint pain and muscle aches from OA and preexisting conditions. Injection site was sore on day 2. Itching reported was likely from shot, but i do not suspect that joint and muscle pain after day 2 was from shot. Also, misreported my activities. Due to preexisting, have not been sble to do regukar activities, but that is unrelated to shot. Also did not report On day 3, I got acupuncture.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pre existing conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Sinus headache — Feeling: Good

Free text: Sinus headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme irritability during sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Pain, Sensitivity to weather change — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This us for yesterday. Tiday i am fine wirh some joint pain due to weather changes. Point is, i missed yesterday's checkin because it was a delayed 3rd day onset of extreme fatigue and more moderate pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Osteoarthritis — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: OA, footdrop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Congestion, headache, fatigue. Not sinus infection. Was maybe a virus.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2021-10-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Related to existing conditions · Healthcare visit (other): Specialist

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-29	Successful 2021-10-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-02	Successful 2022-04-05	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Light headed

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Arm soreness

2021-03-13

Systemic reaction (other): Itched all over and had to put Deep Blue on all muscles at 845 a.m. thwn was better.etter

2021-03-14

Systemic reaction (other): OA, so relative to joints.

2021-03-15

Systemic reaction (other): OA for joint pain

2021-03-16

Systemic reaction (other): OA, and other pre-existing back issues

Healthcare visit (other): True for all days since injection, may not have answered correctly on prior days...to clarify, joint pain and muscle aches from OA and preexisting conditions. Injection site was sore on day 2. Itching reported was likely from shot, but i do not suspect that joint and muscle pain after day 2 was from shot. Also, misreported my activities. Due to preexisting, have not been sble to do regukar activities, but that is unrelated to shot. Also did not report On day 3, I got acupuncture.

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Pre existing conditions

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Sinus headaches

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Extreme irritability during sleep

2021-04-04

Systemic reaction (other): This us for yesterday. Tiday i am fine wirh some joint pain due to weather changes. Point is, i missed yesterday's checkin because it was a delayed 3rd day onset of extreme fatigue and more moderate pain.

2021-04-05

Systemic reaction (other): OA, footdrop

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Congestion, headache, fatigue. Not sinus infection. Was maybe a virus.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Related to existing conditions

Healthcare visit (other): Specialist

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	Arthralgia	✓	✓	✓
HCVO	Injection site pain	✓	✓	✓
HCVO	Muscle atrophy	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Osteoarthritis	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Pruritus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus headache	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Osteoarthritis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sensitivity to weather change	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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