YQ3-10233-25291

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 633 / MO
Registered: 2021-02-06

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

2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have Sjorgens and Hashimoto

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Overall malaise today. Just didn't feel well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Fatigue, Head discomfort, Ocular discomfort, Pre-existing disease — Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have Sjorgens. My head, particularly eyes uncomfortable. Also fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 14, dose 1
MedDRA: Blood thyroid stimulating hormone abnormal, Blood thyroid stimulating hormone decreased, Eye pain, Eye swelling, Office visit, Pre-existing disease — 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: I have Sjorgens and Hashimoto and found out today my TSH is low. Will be going back on synthroid tomorrow. Had to see the eye doctor since I last reported because eyes were swollen and painful. · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune thyroiditis, Sjogren's syndrome — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just a reminder, I have Sjorgens and Hashimoto

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and fatigue. May be related to Sjorgens or Hashimoto

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left shoulder, arm and finger pain. Rash from uv rays

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): I have Sjorgens and Hashimoto

2021-02-09

Systemic reaction (other): Overall malaise today. Just didn't feel well

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): I have Sjorgens. My head, particularly eyes uncomfortable. Also fatigue

Release 4 — day 14, dose 1

2021-02-17

Symptoms: I have Sjorgens and Hashimoto and found out today my TSH is low. Will be going back on synthroid tomorrow. Had to see the eye doctor since I last reported because eyes were swollen and painful.

Healthcare visit (other): Eye doctor

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Just a reminder, I have Sjorgens and Hashimoto

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Headaches and fatigue. May be related to Sjorgens or Hashimoto

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Left shoulder, arm and finger pain. Rash from uv rays

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	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Blood thyroid stimulating hormone abnormal	○	✓	○
SD	Blood thyroid stimulating hormone decreased	✓	·	✓
SD	Eye pain	✓	✓	✓
SD	Eye swelling	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	·	✓
SRO	Autoimmune thyroiditis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sjogren's syndrome	✓	✓	✓

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