Z6U-24336-80581

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 910 / CA
Registered: 2021-04-08

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

2021-03-25
Dose 1 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Free text: Weird tingling sensations running from my back up to the top of my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: fever, fatigue and headache · Healthcare visit (other): waiting on a covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair

Free text: My tinnitus which before the vaccine was not bothersome became horrible after the vaccine. And it seems to progressively be getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Back pain, Paraesthesia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: severe back pain and tingling in back, daily in the evening mild fevers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Back pain, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have developed some form of fibromyalgia or similar condition because within a couple of weeks from the last shot I have been experiencing daily pain in my back, my legs and my hands. Just seems too coincidental.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Call 1 — Left Voicemail
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-11
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 · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 21, dose 3
MedDRA: Myalgia, Pyrexia — Feeling: Fair

Free text: Muscle aches in jaw and back and low grade fever at times

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-11-12
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Muscle and joint pain

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
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	2021-03-25	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Successful 2022-11-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-16	Successful 2022-11-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-12	Successful 2022-11-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Weird tingling sensations running from my back up to the top of my head

Release 8 — day 14, dose 2

2021-04-30

Symptoms: fever, fatigue and headache

Healthcare visit (other): waiting on a covid test

Release 8 — day 35, dose 2

2021-05-21

Symptoms: My tinnitus which before the vaccine was not bothersome became horrible after the vaccine. And it seems to progressively be getting worse.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: severe back pain and tingling in back, daily in the evening mild fevers

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: I have developed some form of fibromyalgia or similar condition because within a couple of weeks from the last shot I have been experiencing daily pain in my back, my legs and my hands. Just seems too coincidental.

Release 10 — day 21, dose 3

2021-12-01

Symptoms: Muscle aches in jaw and back and low grade fever at times

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: Muscle and joint pain

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	SARS-CoV-2 test	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Unevaluable event	✓	·	✓
SRO	Paraesthesia	✓	✓	✓

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