Z2K-58372-63545

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 220 / VA
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen, painful lymph nodes · Healthcare visit (other): Chinese Medicine Doctor for Accupuncture with massage and herbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I still continue to have fatigue and achiness. The achiness is very hard to describe. As someone who has had other types of chronic pain this is different. Its not a type of achiness that I have dealt with before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Survey response — day 42, dose 2
MedDRA: Dizziness, Myalgia, Nausea — 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: The aching muscles has gotten worse and I am still having bouts of dizziness and nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Call successful
Not applicable - Accidental Reporting
2021-10-24
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Herpes simplex, 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: Headaches and major bouts of fatigue. I also had to double my daily antiviral meds b/c I started having weekly outbreaks of HSV after the vaccines. My HSV had been completely under control for years before this.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — 6 months, dose 2
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)
2021-10-26
Call successful
Not applicable - Accidental Reporting
2021-12-10
Dose 3 — Pfizer-BioNTech
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-16
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
2021-12-17
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-02
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches came back. Fatigue got worse. Also, my period is late and it is never, ever late.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — day 42, dose 3
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Reoccurring aching in the arm that I had the shot and episodes or major fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Asthenia, Hypoaesthesia, Injection site pain — 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: Numbness in feet Horrible aching at injection site Weakness and pain in the shoulder and arm of injection.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Report sent to call center — 6 months, dose 3
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)
2022-06-13
Call 1 — Left Voicemail
2022-12-12
Survey response — 12 months, dose 3
MedDRA: Herpes simplex, Injection site mass, Injection site pain, Office visit, Periarthritis, Physiotherapy, Pre-existing disease, Rotator cuff syndrome, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: After months and months of suffering after my booster I got diagnosed with tendinitis and frozen shoulder. I am in PT but it's slow. The injection site gets a painful lump which Dr thought was sarcoma but isn't. HSV is out of control Valtrex dose up. · Healthcare visit (other): MRI, X-rays, Ultrasound of shoulder and arm.

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-13
Call successful
Participant prefers to complete VAERS report online
2022-12-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-12-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-26	Successful	Not applicable - Accidental Reporting
2021-06-06	Successful 2021-08-15	Not applicable - Accidental Reporting
2021-10-24	Successful 2021-10-26	Not applicable - Accidental Reporting
2022-06-12	Successful 2022-12-13	Participant prefers to complete VAERS report online
2022-12-12	Successful 2022-12-13	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Swollen, painful lymph nodes

Healthcare visit (other): Chinese Medicine Doctor for Accupuncture with massage and herbs

Release 8 — day 21, dose 2

2021-05-14

Symptoms: I still continue to have fatigue and achiness. The achiness is very hard to describe. As someone who has had other types of chronic pain this is different. Its not a type of achiness that I have dealt with before.

Release 8 — day 42, dose 2

2021-06-06

Symptoms: The aching muscles has gotten worse and I am still having bouts of dizziness and nausea.

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: Headaches and major bouts of fatigue. I also had to double my daily antiviral meds b/c I started having weekly outbreaks of HSV after the vaccines. My HSV had been completely under control for years before this.

Release 10 — day 21, dose 3

2022-01-02

Symptoms: Headaches came back. Fatigue got worse. Also, my period is late and it is never, ever late.

Release 11 — day 42, dose 3

2022-01-21

Symptoms: Reoccurring aching in the arm that I had the shot and episodes or major fatigue.

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Numbness in feet Horrible aching at injection site Weakness and pain in the shoulder and arm of injection.

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: After months and months of suffering after my booster I got diagnosed with tendinitis and frozen shoulder. I am in PT but it's slow. The injection site gets a painful lump which Dr thought was sarcoma but isn't. HSV is out of control Valtrex dose up. cut off by CDC

Healthcare visit (other): MRI, X-rays, Ultrasound of shoulder and arm.

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Herpes simplex	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site mass	·	·	✓
SD	Injection site pain	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Periarthritis	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rotator cuff syndrome	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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