Z24-16961-48806

3 vaccinations 13 coded responses 26 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 483 / MI
Registered: 2021-02-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Pfizer-BioNTech
2021-02-28
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea

Free text: I have adrenal insufficiency and RA, along with a lot of other AI diseases.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Adrenal insufficiency, Injection site pain, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Nausea

Free text: My other symptoms aside from the site pain are likely due to my RA and adrenal insufficiency.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adrenal insufficiency, Fatigue, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Fatigue likely due to my adrenal insufficiency, not my vaccine.

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: Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Free text: I am having an RA and adrenal insufficiency flare today and I do not believe my symptoms are related to my COVID shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Dose 2 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: RA, adrenal insufficiency, asthma, MCTD

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: Adrenal insufficiency, Asthma, Rheumatoid arthritis — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: RA, adrenal insufficiency, asthma

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: Adrenal insufficiency, Asthma, Mixed connective tissue disease, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: RA, adrenal insufficiency, asthma, MCTD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: RA, adrenal insufficiency, MCTD, Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: RA, adrenal insufficiency, asthma, MCTD (all likely causing current symptoms, not the vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Ra, adrenal insufficiency, asthma, MCTD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: RA, adrenal insufficiency, asthma, MCTD

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

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Dose 3 — Pfizer-BioNTech
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Survey response — 6 months, dose 3
MedDRA: Dehydration, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dehydration issue. Cause unknown, but likely to be related to AI disease or hormone issue.

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Survey response — 12 months, dose 3
MedDRA: Cataract — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cataracts

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Pfizer-BioNTech
2	2021-03-21	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): I have adrenal insufficiency and RA, along with a lot of other AI diseases.

2021-03-02

Systemic reaction (other): My other symptoms aside from the site pain are likely due to my RA and adrenal insufficiency.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Fatigue likely due to my adrenal insufficiency, not my vaccine.

2021-03-04

Systemic reaction (other): I am having an RA and adrenal insufficiency flare today and I do not believe my symptoms are related to my COVID shot.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): RA, adrenal insufficiency, asthma, MCTD

2021-03-23

Systemic reaction (other): RA, adrenal insufficiency, asthma

2021-03-24

Systemic reaction (other): RA, adrenal insufficiency, asthma, MCTD

2021-03-25

Systemic reaction (other): RA, adrenal insufficiency, MCTD, Asthma

2021-03-26

Systemic reaction (other): RA, adrenal insufficiency, asthma, MCTD (all likely causing current symptoms, not the vaccine)

2021-03-27

Systemic reaction (other): Ra, adrenal insufficiency, asthma, MCTD

Release 6 — day 7, dose 2

2021-03-28

Systemic reaction (other): RA, adrenal insufficiency, asthma, MCTD

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Dehydration issue. Cause unknown, but likely to be related to AI disease or hormone issue.

Release 12 — 12 months, dose 3

2022-08-22

Symptoms: Cataracts

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	Cataract	·	·	✓
SD	Dehydration	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adrenal insufficiency	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mixed connective tissue disease	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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