YVJ-17118-45774

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 954 / CA
Registered: 2021-03-24

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

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-24
Registered in v-safe
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I am participating as a 47 year old woman who has been diagnosed with rheumatoid arthritis for the past 45 years. I understand there was little representation of RA patients in any of the vaccine company trials. Any symptoms I'm reporting are above what I would typically experience with the disease. I usually take Orencia, but had stopped it 7 weeks prior to my vaccine for a different reason (though in my experience, these immune-suppressants last weeks to months or more in my body).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Juvenile Rheumatoid Arthritis diagnosed 1976. My L ankle and knee did flare two days after the first covid shot. Since resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore under arm pit on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — day 7, dose 2
MedDRA: Constipation — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: constipation started day after second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Arthralgia, Depressed mood, Depression, Feeling of despair, Inflammation, Menstruation irregular, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe rheumatoid arthritis-related inflammation and pain in left knee. Unlike anything I've experienced in 45 years of it. Unstable and giving out. Mood terribly low. Depressed. Despondent.Period came early after first dose/late after second.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
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
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Arthralgia, Joint swelling, Knee arthroplasty — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Metal knee extremely and suddenly achy. Somewhat swollen.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-24
Call 1 — Left Voicemail
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Call 2 — Left Voicemail
2021-11-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rheumatoid arthritis flare post 4th covid vaccine on 4/7/22.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-11-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-22	Successful 2021-11-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): I am participating as a 47 year old woman who has been diagnosed with rheumatoid arthritis for the past 45 years. I understand there was little representation of RA patients in any of the vaccine company trials. Any symptoms I'm reporting are above what I would typically experience with the disease. I usually take Orencia, but had stopped it 7 weeks prior to my vaccine for a different reason (though in my experience, these immune-suppressants last weeks to months or more in my body).

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): Juvenile Rheumatoid Arthritis diagnosed 1976. My L ankle and knee did flare two days after the first covid shot. Since resolved.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Sore under arm pit on injection arm

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): constipation started day after second vaccine

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Severe rheumatoid arthritis-related inflammation and pain in left knee. Unlike anything I've experienced in 45 years of it. Unstable and giving out. Mood terribly low. Depressed. Despondent.Period came early after first dose/late after second. cut off by CDC

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Metal knee extremely and suddenly achy. Somewhat swollen.

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: Rheumatoid arthritis flare post 4th covid vaccine on 4/7/22.

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	Depressed mood	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Feeling of despair	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Knee arthroplasty	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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