YP3-14157-09668

5 vaccinations 38 coded responses 65 check-ins 37 free-text entries 10 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 064 / CT
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-01
Survey response — day 0, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: All symptoms checked above were also present PRIOR to shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Injection site pain diminishing steadily. Seeing PCP tomorrow for routine visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Office visit, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Above checked symptoms are ongoing prior to Covid shot. Saw PCP today. · Healthcare visit (other): Routine visit with PCP where I discussed these ongoing issues. Referred to my ENT for further evaluation. Ordered routine blood work up. Aches & pains from old injuries, age.

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

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Joint/muscle aches not Covid shot related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The usual stuff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-15
Survey response — day 14, dose 1
MedDRA: Cough, Seasonal allergy — Feeling: Fair

Free text: Slight cough...not unusual...allergies?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: 98.6 is low-grade fever for me. Symptoms checked above are also part of my everyday life too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Above checked are experienced apart from Covid vax shot. Am seeking medical attention & treatment for them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Above checked symptoms are typical for me probably not related to Covid vax.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — day 7, dose 2
MedDRA: Headache, Malaise, Pyrexia, Sleep disorder — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Felt feverish but kept testing in normal range. 98.6 is slightly elevated for me. Headache. Feeling generally lousy. Bad nights sleep last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Medical counselling, Musculoskeletal stiffness, Myalgia, Nausea, Neck pain, Pyrexia, SARS-CoV-2 test negative, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, stiff achy neck, joint & muscle aches, fatigue, nauseous, ear ringing worse than usual. Temp usually ok but had a couple of low grade fevers. Got worried. Went for Covid test (not the rapid one) on 4/3-results=Not Detected. · Healthcare visit (other): Phone. Talked to PCP when he called about blood test results. B-12 levels are low-296.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Malaise, Musculoskeletal stiffness, Neck pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities

Free text: Onset a week AFTER 2nd shot, 3/22. Headaches, stiff achy neck, fatigue continue. When does this end? Is it vax or something else? No fever. BP ok. Might be B-12 level...296. Doc wants me to get B-12 shots again. Feel crappy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue, Headache, Lethargy, Musculoskeletal stiffness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches, stiff achy neck, fatigue, lethargy, lightheadedness continue. However, routine bloodwork revealed a low B-12 level, which I had a long time ago. Symptoms are similar. Started the series of B-12 shots today. Will see I feel soon. Thanks! · Healthcare visit (other): In person with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 42, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Headache, Malaise, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Dull headache, neck ache, fatigue continues. Now getting B-12 shots. Appt. to evaluate for vestibular P.T. GI tract issues ongoing. Feeling overall lousy. · Healthcare visit (other): Regular in-person visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-10-30
Survey response — day 0, dose 3
MedDRA: Adverse reaction, Insomnia, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Above symptoms might be from lack of sleep bec I have circadian rhythm disorder & went to work early prior to getting 3rd shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth, Respiratory tract congestion, Sneezing — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Sneezing/congestion/dry mouth

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth, Dry throat, Nasal congestion — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Nasal congestion, dry mouth & throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 7, dose 3
MedDRA: Dry mouth, Nasal congestion — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Stuffy nose, dry mouth

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Mild headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Fatigue, Gastrointestinal disorder — Feeling: Fair

Free text: Gastric issues & pain/fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — 3 months, dose 3
MedDRA: Diverticulitis, Fatigue, Gastrointestinal disorder, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Tongue coated — Feeling: Fair · Be unable to work or attend school, 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: Symptoms not typical of covid, but was directed by doc to get test anyway-negative. Fatigue, gastric issues, slight fever, coated tongue. Not cold or flu either. Also had diverticulitis infection in December. Surgery imminent.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-05-20
Health check-in — day 0, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Colon operation, Diverticulitis, Gastrointestinal disorder — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain

Free text: Full disclosure: I am 6 weeks out from recovering from colon resection surgery for diverticulitis. Gastric issues are probably related to adjusting to that. Recovery going well. Waited to have booster until well after this surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Surgery — Feeling: Fair · Fatigue or tiredness

Free text: Just stuff probably related to aforementioned surgery recovery. Routine followup appts with surgeon, gastroenterologist, & PCP later this week.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — days 1–6 daily, dose 4
MedDRA: Office visit, Pain, Procedural pain — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain at surgical site. Saw surgeon today for routine followup. Working on it. · Healthcare visit (other): In person. Visit already scheduled. Pain happen to occur just prior. Prob not related to booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Colorectal surgeon ordered bloodwork. Have TeleHealth appt with gastro doc tomorrow. Might take a few days to diagnose. Home covid test negative today. Symptoms between moderate & severe.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Call 1 — Left Voicemail
2022-05-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27
Survey response — day 7, dose 4
MedDRA: Gastrointestinal disorder — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: This is related to gastrointestinal issues. CTScan has been ordered.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — day 14, dose 4
MedDRA: Abdominal pain lower, Diverticulitis, Office visit, Pyrexia, Scan abdomen abnormal, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Had diverticulitis surgery on 4/8/22. 6.5 weeks later, on 5/25/22, I woke up with fever & lower left abdomen gut pain. CTScan this week revealed acute diverticulitis. Am now under the care of my G.I. doc & PCP. On antibiotics. Not vax related.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-10
Survey response — day 21, dose 4
MedDRA: Condition aggravated, Diverticulitis, Loss of personal independence in daily activities, Pre-existing disease — Feeling: Fair · 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 not related to covid booster shot, but to ongoing diverticulitis infection & other gastric issues. These GI symptoms have caused me to seek medical help & have prevented me from doing my normal activities.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — day 21, dose 4
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)
2022-06-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-17
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Survey response — 3 months, dose 4
MedDRA: Arthropathy, Diverticulitis, Office visit, Pre-existing disease — Feeling: Fair · 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: Symptoms related to other things. Diverticulitis is back (2 flare-ups despite/since surgery in April). GE doc is managing. Also, knee & elbow joints acting up?from an old injury.

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-22
Call 1 — Left Voicemail
2022-09-24
Dose 5 — Pfizer-BioNTech
2022-09-24
Health check-in — day 0, dose 5
Feeling: Fair · None

Adult check-in
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have joint & muscle pains from former injuries too.

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-27
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Joint pains & abdominal pains are a result of other pre-existing issues not related to the covid vax.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Above checked are pre-existing conditions

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Muscle & joint pains-the usual old age complaints

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains

Adult check-in
2022-10-01
Survey response — day 7, dose 5
MedDRA: Arthralgia, Injury, Myalgia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Muscle & joint aches from injuries, age

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — day 14, dose 5
MedDRA: Chills, Cough, Diarrhoea, Dry mouth, Fatigue, Headache, Injection site pain, Nasal congestion, Nasal dryness, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: PCP gave me FLU SHOT yesterday (Fri., 10/7/22) & since last night I have sore arm at injection site, stuffy dry nose, slight cough, dry mouth,'slight headache, low grade fever, chills, fatigue. Also, diarrhea from something I ate. Sleeping it off.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-22
Survey response — day 28, dose 5
MedDRA: Dizziness, Fatigue, Nasal congestion — Feeling: Fair

Free text: Stuffy nose, general fatigue. Felt lightheaded one evening, but it went away. Also, GI tract recovering from endoscopy, colonoscopy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-05
Survey response — day 42, dose 5
MedDRA: Arthralgia, Fatigue, Joint stiffness, Muscle spasms, Musculoskeletal stiffness, Myalgia — Feeling: Fair

Free text: Stiff & achy joints & muscles, especially in legs, including some mild cramps. May be from fall injuries. Also fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-25
Survey response — 6 months, dose 5
MedDRA: Diverticulitis, Medical counselling, Pre-existing disease, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-09-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-04	Successful 2022-06-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-05	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-26	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-03	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-29	Successful 2022-02-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-25	Successful 2022-05-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-03	Successful 2022-06-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-10	Successful 2022-06-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-19	Unsuccessful
2023-03-25	Successful 2023-03-28	Participant prefers to complete VAERS report online

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): All symptoms checked above were also present PRIOR to shot.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Injection site pain diminishing steadily. Seeing PCP tomorrow for routine visit.

2021-03-04

Systemic reaction (other): Above checked symptoms are ongoing prior to Covid shot. Saw PCP today.

Healthcare visit (other): Routine visit with PCP where I discussed these ongoing issues. Referred to my ENT for further evaluation. Ordered routine blood work up. Aches & pains from old injuries, age.

2021-03-05

Systemic reaction (other): Joint/muscle aches not Covid shot related

2021-03-07

Systemic reaction (other): The usual stuff

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Slight cough...not unusual...allergies?

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): 98.6 is low-grade fever for me. Symptoms checked above are also part of my everyday life too.

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Above checked are experienced apart from Covid vax shot. Am seeking medical attention & treatment for them.

2021-03-24

Systemic reaction (other): Above checked symptoms are typical for me probably not related to Covid vax.

Release 6 — day 7, dose 2

2021-03-29

Systemic reaction (other): Felt feverish but kept testing in normal range. 98.6 is slightly elevated for me. Headache. Feeling generally lousy. Bad nights sleep last night.

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Headache, stiff achy neck, joint & muscle aches, fatigue, nauseous, ear ringing worse than usual. Temp usually ok but had a couple of low grade fevers. Got worried. Went for Covid test (not the rapid one) on 4/3-results=Not Detected.

Healthcare visit (other): Phone. Talked to PCP when he called about blood test results. B-12 levels are low-296.

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Onset a week AFTER 2nd shot, 3/22. Headaches, stiff achy neck, fatigue continue. When does this end? Is it vax or something else? No fever. BP ok. Might be B-12 level...296. Doc wants me to get B-12 shots again. Feel crappy.

Release 8 — day 35, dose 2

2021-04-26

Symptoms: Headaches, stiff achy neck, fatigue, lethargy, lightheadedness continue. However, routine bloodwork revealed a low B-12 level, which I had a long time ago. Symptoms are similar. Started the series of B-12 shots today. Will see I feel soon. Thanks!

Healthcare visit (other): In person with PCP

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Dull headache, neck ache, fatigue continues. Now getting B-12 shots. Appt. to evaluate for vestibular P.T. GI tract issues ongoing. Feeling overall lousy.

Healthcare visit (other): Regular in-person visits

Release 10 — day 0, dose 3

2021-10-30

Systemic reaction (other): Above symptoms might be from lack of sleep bec I have circadian rhythm disorder & went to work early prior to getting 3rd shot

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Sneezing/congestion/dry mouth

2021-11-05

Systemic reaction (other): Nasal congestion, dry mouth & throat

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Stuffy nose, dry mouth

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Mild headaches

Release 10 — day 42, dose 3

2021-12-11

Symptoms: Gastric issues & pain/fatigue

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: Symptoms not typical of covid, but was directed by doc to get test anyway-negative. Fatigue, gastric issues, slight fever, coated tongue. Not cold or flu either. Also had diverticulitis infection in December. Surgery imminent.

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Full disclosure: I am 6 weeks out from recovering from colon resection surgery for diverticulitis. Gastric issues are probably related to adjusting to that. Recovery going well. Waited to have booster until well after this surgery.

2022-05-24

Systemic reaction (other): Just stuff probably related to aforementioned surgery recovery. Routine followup appts with surgeon, gastroenterologist, & PCP later this week.

2022-05-25

Systemic reaction (other): Pain at surgical site. Saw surgeon today for routine followup. Working on it.

Healthcare visit (other): In person. Visit already scheduled. Pain happen to occur just prior. Prob not related to booster shot.

2022-05-26

Systemic reaction (other): Colorectal surgeon ordered bloodwork. Have TeleHealth appt with gastro doc tomorrow. Might take a few days to diagnose. Home covid test negative today. Symptoms between moderate & severe.

Release 11 — day 7, dose 4

2022-05-27

Systemic reaction (other): This is related to gastrointestinal issues. CTScan has been ordered.

Release 11 — day 14, dose 4

2022-06-03

Symptoms: Had diverticulitis surgery on 4/8/22. 6.5 weeks later, on 5/25/22, I woke up with fever & lower left abdomen gut pain. CTScan this week revealed acute diverticulitis. Am now under the care of my G.I. doc & PCP. On antibiotics. Not vax related.

Release 12 — day 21, dose 4

2022-06-10

Symptoms: Symptoms not related to covid booster shot, but to ongoing diverticulitis infection & other gastric issues. These GI symptoms have caused me to seek medical help & have prevented me from doing my normal activities.

Release 12 — 3 months, dose 4

2022-08-19

Symptoms: Symptoms related to other things. Diverticulitis is back (2 flare-ups despite/since surgery in April). GE doc is managing. Also, knee & elbow joints acting up?from an old injury.

Release 12 — days 1–6 daily, dose 5

2022-09-25

Systemic reaction (other): I have joint & muscle pains from former injuries too.

2022-09-27

Systemic reaction (other): Joint pains & abdominal pains are a result of other pre-existing issues not related to the covid vax.

2022-09-28

Systemic reaction (other): Above checked are pre-existing conditions

2022-09-29

Systemic reaction (other): Muscle & joint pains-the usual old age complaints

Release 12 — day 7, dose 5

2022-10-01

Systemic reaction (other): Muscle & joint aches from injuries, age

Release 12 — day 14, dose 5

2022-10-08

Symptoms: PCP gave me FLU SHOT yesterday (Fri., 10/7/22) & since last night I have sore arm at injection site, stuffy dry nose, slight cough, dry mouth,'slight headache, low grade fever, chills, fatigue. Also, diarrhea from something I ate. Sleeping it off.

Release 12 — day 28, dose 5

2022-10-22

Symptoms: Stuffy nose, general fatigue. Felt lightheaded one evening, but it went away. Also, GI tract recovering from endoscopy, colonoscopy.

Release 12 — day 42, dose 5

2022-11-05

Symptoms: Stiff & achy joints & muscles, especially in legs, including some mild cramps. May be from fall injuries. Also fatigue.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Chills	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dry mouth	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza virus test negative	·	·	✓
SD	Injection site pain	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Malaise	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasal dryness	·	·	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Scan abdomen abnormal	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Surgery	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tongue coated	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Colon operation	·	·	✓
SRO	Diverticulitis	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injury	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Procedural pain	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sneezing	·	·	✓
SRO	Surgery	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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