Z3K-29294-30679

4 vaccinations 6 coded responses 38 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-02-17

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-19
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Slight fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Mild ear ache, but its gone. Seasonal allergy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia, Pre-existing disease, Spinal pain — Feeling: Good

Free text: Achey joints, spine, muscles, probably because of having just moved to a new place, which involved a lot of physical and psychological effort and I have rheumatoid arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Blood pressure decreased, Dizziness, Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A couple of episodes if very liw blood pressure and feeling of faintness and palpitations. Had a heart check up (echo cardiogram and stress test) it seems to be fine · Healthcare visit (other): Cardiologiist

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-05
Call successful
Participant prefers to complete VAERS report online
2022-09-15
Dose 4 — Pfizer-BioNTech
2022-10-01
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Joint instability, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint aches and instability · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-08
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 4
MedDRA: Chills, Medical counselling, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-09-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-31	Successful 2022-04-05	Participant prefers to complete VAERS report online
2022-10-01	Successful 2022-10-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-16	Successful 2023-03-17	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): Slight fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Mild ear ache, but its gone. Seasonal allergy.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Achey joints, spine, muscles, probably because of having just moved to a new place, which involved a lot of physical and psychological effort and I have rheumatoid arthritis.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: A couple of episodes if very liw blood pressure and feeling of faintness and palpitations. Had a heart check up (echo cardiogram and stress test) it seems to be fine

Healthcare visit (other): Cardiologiist

Release 12 — 12 months, dose 3

2022-10-01

Symptoms: Joint aches and instability

Healthcare visit (other): Physical therapy

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	Physiotherapy	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blood pressure decreased	·	·	✓
SD	Chills	·	·	✓
SD	Dizziness	·	·	✓
SD	Joint instability	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Spinal pain	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓

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