Z56-15671-17458

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 751 / TX
Registered: 2021-05-11

Relationship: Self
Race: Multiracial
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

2021-05-10
Dose 1 — Pfizer-BioNTech
2021-05-11
Registered in v-safe
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have arthritis and it is raining.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Arthritis,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: I have arthritis-that accounts for some symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Free text: Arthritis-and it is raining.Pain probably not associated with the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 7, dose 1
MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: I have arthritis and it is raining.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-01
Dose 2 — Pfizer-BioNTech
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have arthritis so some symptoms come from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I also have a sore throat. I have arthritis too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have arthritis-could cause some of the symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have arthritis and it is raining.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have arthritis and it is still raining.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-06-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-30
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing, congestion, fatigue, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Pfizer-BioNTech
2	2021-06-01	Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-12

Systemic reaction (other): I have arthritis and it is raining.

2021-05-13

Systemic reaction (other): Arthritis,

2021-05-14

Systemic reaction (other): I have arthritis-that accounts for some symptoms.

2021-05-16

Systemic reaction (other): Arthritis-and it is raining.Pain probably not associated with the vaccine.

Release 8 — day 7, dose 1

2021-05-17

Systemic reaction (other): I have arthritis and it is raining.

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): I have arthritis.

2021-06-03

Systemic reaction (other): I have arthritis so some symptoms come from that.

2021-06-04

Systemic reaction (other): I also have a sore throat. I have arthritis too.

2021-06-05

Systemic reaction (other): I have arthritis-could cause some of the symptoms.

2021-06-07

Systemic reaction (other): I have arthritis and it is raining.

Release 8 — day 7, dose 2

2021-06-08

Systemic reaction (other): I have arthritis and it is still raining.

Release 10 — 6 months, dose 2

2021-11-30

Symptoms: Coughing, congestion, fatigue, etc.

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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