Z5J-16318-16548

3 vaccinations 21 coded responses 35 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 735 / OK
Registered: 2021-02-23

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

2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-23
Registered in v-safe
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Just head feeling some pressure, out of sorts, but o.k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort, Memory impairment — Feeling: Good · Headache

Free text: Not true headache, just pressure & seem to be forgetful-- not sure it's a symptom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness -- momentary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Joint pains

Free text: Some stiffness, but may have been due to cold front going through

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle ache in lower right side of back--- thought at first maybe kidney infection-- but isn't-- hurt a lot last Monday evening, March 3rd & continued all week--- eased a bit Sat, but came back Sun night(7th)-- sore now, but not as bad as last week--

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Eye disorder, Feeling abnormal, Pain in extremity — Feeling: Good

Free text: My head felt "weird", out of it, eyes felt kinda crossed & arm sore first 2 days (Fri night 3/12 & Sat 3/13), then after that, I have been good, to my surprise--- thank you! So far, good! :)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 14, dose 2
MedDRA: Fatigue, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Miner, but more fatigued on Monday & Tuesday--- took extra vitamins, oranges & spinach-- feeling better by Wednesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Cough, Head discomfort, Oropharyngeal pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe sore throat, Sun. Nite,4/4 ;gargled w/salt H2O every 2 hrs all night; still sore Mon. 4/5 gargled most of day, doubled vitamins, drank warm lemon & honey H2O all day-still sore, but better than Sun. Tues 4/6 throat easing, cough & stuffy head-

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Forgot last week about stuffy nose/congestion--- cleared up--- now just runny nose & sneezing since Wed--- believe this is spring allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain, Sensitive skin, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just back/stomach & joints sensitive ---but seemed to get over an extreme sore throat & sinus quickly(within 3 days) after constant salt H2O gargles-- faster than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Asthenia, Blood pressure increased, COVID-19, Cough, Depression, Diarrhoea, Fatigue, Head discomfort, Heart rate irregular, Paranasal sinus discomfort, Peripheral swelling — 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: I got Covid. Same head pressure, & joint aches as w/vaccine, but also feet swelling, later cough, and diarrhea--extremely tired & lack of energy, depression- high B/P & pulse--(not as bad as son in Tx, who had J&J & got Remdesiver & oxgen).took Amox

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
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

1 call case(s)
2021-09-14
Call 1 — Could Not Reach Participant
2021-09-17
Call 2 — Could Not Reach Participant
2021-09-22
Call 3 — Could Not Reach Participant
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Back pain, COVID-19, Discharge, Fatigue, Joint stiffness, Memory impairment, Productive cough, Respiratory tract congestion, Secretion discharge — 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: Pain in one side(R) of back- congestion & drainage-- coughing a lot of mucus up-- tired & 'empty'? Feeling. A bit more forgetful & still stiff joints ,esp w/low fronts.Got covid in 8/21 & concerned about booster due to uneffectiveness against varient

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call 1 — Could Not Reach Participant
2022-03-18
Call 2 — Left Voicemail
2022-07-28
Dose 3 — Pfizer-BioNTech
2022-07-29
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Emotional disorder, Feeling abnormal, Head discomfort, Self-medication — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Just head feeling 'weird' & a bit emotional , and chilled , have taken motrin

MedDRA releases: 2024-11 · check-in free text available
2022-07-30
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Fatigue, Feeling abnormal, Pain in extremity, Somnolence — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just slept most of day-- arm still sore, but better than yesterday-- just tired, but head better-- don't feel as wierd, or like head 'full'

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation, Diarrhoea, Fatigue — Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Much better-- almost normal, still a bit tired & loose after being constipated for 2 days, so hopefully on uphill of this.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Fatigue, Gastrointestinal disorder — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Doing much better--still a bit tired,& knees quite sore still, but stomach/intestines better.

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Just still sore knee joints

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Doing better---knees not as sore

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Survey response — day 7, dose 3
MedDRA: Fatigue — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Not as tired, but tire easily-- knees still bother

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-09-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-09-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-27
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Condition aggravated, Depressed mood, Joint swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joints, especially knees, have gotten worse--hopefully old age? and not related, but even after first vaccine, joints were swollen and sore, and have gotten worse since then--also been more empty?? Depressed?? Not sure how to explain less feelings--

MedDRA releases: 2024-11 · check-in free text available
2023-01-28
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Dyspnoea exertional, Fatigue, Gastroenteritis viral, Pain, Peripheral swelling, Pre-existing disease, Respiratory tract congestion, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2022-07-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-10	Unsuccessful
2022-03-12	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Just head feeling some pressure, out of sorts, but o.k.

2021-02-27

Systemic reaction (other): Not true headache, just pressure & seem to be forgetful-- not sure it's a symptom

2021-02-28

Systemic reaction (other): Slight dizziness -- momentary

Release 4 — day 7, dose 1

2021-03-01

Systemic reaction (other): Some stiffness, but may have been due to cold front going through

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Muscle ache in lower right side of back--- thought at first maybe kidney infection-- but isn't-- hurt a lot last Monday evening, March 3rd & continued all week--- eased a bit Sat, but came back Sun night(7th)-- sore now, but not as bad as last week-- cut off by CDC

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): My head felt "weird", out of it, eyes felt kinda crossed & arm sore first 2 days (Fri night 3/12 & Sat 3/13), then after that, I have been good, to my surprise--- thank you! So far, good! :)

Release 6 — day 14, dose 2

2021-03-27

Symptoms: Miner, but more fatigued on Monday & Tuesday--- took extra vitamins, oranges & spinach-- feeling better by Wednesday

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Severe sore throat, Sun. Nite,4/4 ;gargled w/salt H2O every 2 hrs all night; still sore Mon. 4/5 gargled most of day, doubled vitamins, drank warm lemon & honey H2O all day-still sore, but better than Sun. Tues 4/6 throat easing, cough & stuffy head- cut off by CDC

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Forgot last week about stuffy nose/congestion--- cleared up--- now just runny nose & sneezing since Wed--- believe this is spring allergies

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Just back/stomach & joints sensitive ---but seemed to get over an extreme sore throat & sinus quickly(within 3 days) after constant salt H2O gargles-- faster than normal

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: I got Covid. Same head pressure, & joint aches as w/vaccine, but also feet swelling, later cough, and diarrhea--extremely tired & lack of energy, depression- high B/P & pulse--(not as bad as son in Tx, who had J&J & got Remdesiver & oxgen).took Amox cut off by CDC

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Pain in one side(R) of back- congestion & drainage-- coughing a lot of mucus up-- tired & 'empty'? Feeling. A bit more forgetful & still stiff joints ,esp w/low fronts.Got covid in 8/21 & concerned about booster due to uneffectiveness against varient cut off by CDC

Release 12 — days 1–6 daily, dose 3

2022-07-29

Systemic reaction (other): Just head feeling 'weird' & a bit emotional , and chilled , have taken motrin

2022-07-30

Systemic reaction (other): Just slept most of day-- arm still sore, but better than yesterday-- just tired, but head better-- don't feel as wierd, or like head 'full'

2022-07-31

Systemic reaction (other): Much better-- almost normal, still a bit tired & loose after being constipated for 2 days, so hopefully on uphill of this.

2022-08-01

Systemic reaction (other): Doing much better--still a bit tired,& knees quite sore still, but stomach/intestines better.

2022-08-02

Systemic reaction (other): Just still sore knee joints

2022-08-03

Systemic reaction (other): Doing better---knees not as sore

Release 12 — day 7, dose 3

2022-08-04

Systemic reaction (other): Not as tired, but tire easily-- knees still bother

Release 12 — 3 months, dose 3

2022-10-27

Symptoms: Joints, especially knees, have gotten worse--hopefully old age? and not related, but even after first vaccine, joints were swollen and sore, and have gotten worse since then--also been more empty?? Depressed?? Not sure how to explain less feelings-- cut off by CDC

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	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Depressed mood	·	·	✓
SD	Depression	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Discharge	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Heart rate irregular	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	·	·	✓
SD	Memory impairment	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Secretion discharge	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chills	·	·	✓
SRO	Constipation	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Emotional disorder	·	·	✓
SRO	Eye disorder	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Head discomfort	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Somnolence	·	·	✓

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