Z7X-20530-36432

5 vaccinations 13 coded responses 57 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 076 / NJ
Registered: 2021-04-05

Relationship: Self
Race: White
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

2021-03-29
Dose 1 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I do NOT believe these symptoms were related to vaccine. I have Rheumatoid Arthritis and seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I do NOT think these symptoms ate from the vaccine. I have RA.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: I don't think these are from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Not from vaccine!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches

Free text: Redness and itching are spreading over increased area of upper arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches

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

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Pfizer-BioNTech
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I don't think this is related to the booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Dizziness. But i don't think these symptoms are necessarily from booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Survey response — day 14, dose 3
MedDRA: Dizziness, Nausea — Feeling: Fair

Free text: Dizziness and mild nausea. I am not certain they are related to booster, however.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: But I don't think these are related to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: I don't believe these are vaccine-related

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-05-12
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good · Headache

Free text: Sore throat. Likely not related to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-02-10
Dose 5 — Pfizer-BioNTech
2023-02-11
Health check-in — days 1–6 daily, dose 5
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
2023-02-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-17
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-03-03
Survey response — day 21, dose 5
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11
2023-03-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-03-17
Survey response — day 35, dose 5
MedDRA: Back pain, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-05-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-11-26	Pfizer-BioNTech	No
4	2022-05-06	Pfizer-BioNTech	No
5	2023-02-10	Pfizer-BioNTech	No

Free text

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): I do NOT believe these symptoms were related to vaccine. I have Rheumatoid Arthritis and seasonal allergies.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): I do NOT think these symptoms ate from the vaccine. I have RA.

2021-04-22

Systemic reaction (other): I don't think these are from vaccine.

2021-04-24

Systemic reaction (other): Not from vaccine!

2021-04-25

Systemic reaction (other): Redness and itching are spreading over increased area of upper arm.

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): I don't think this is related to the booster.

2021-12-02

Systemic reaction (other): Dizziness. But i don't think these symptoms are necessarily from booster.

Release 10 — day 14, dose 3

2021-12-10

Symptoms: Dizziness and mild nausea. I am not certain they are related to booster, however.

Release 11 — days 1–6 daily, dose 4

2022-05-08

Systemic reaction (other): But I don't think these are related to vaccine.

2022-05-09

Systemic reaction (other): I don't believe these are vaccine-related

2022-05-12

Systemic reaction (other): Sore throat. Likely not related to vaccine.

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	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	○
SRO	Unevaluable event	✓	✓	✓

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