ZHW-47658-09512

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 306 / GA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Lymphadenopathy, Pain in jaw — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, jaw and ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — day 14, dose 2
MedDRA: Arthralgia, Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and weakness in left knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 21, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Left arm muscle very sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 35, dose 2
MedDRA: Ear discomfort, Fatigue, Laryngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Congestion, sore throat, fatigue, ear pressure, laryngitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — day 0, dose 3
MedDRA: Immediate post-injection reaction, Pain, Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain

Free text: Burning pain down arm and tingling in fingers for about 20 minutes after shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tongue coated — Feeling: Good

Free text: White tongue

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains

Free text: Joint pains likely due to having to stop RA meds for a week after shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Joint pains

Free text: Joint pain increasing likley due to time off w RA meds

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Likely due to being off RA meds this week due to shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Likely due to beimg off RA meds for a week after getting shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 21, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Call 2 — Requested Callback
2021-11-01
Callback requested for
2021-11-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-10-22	Successful 2021-11-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Swollen lymph nodes, jaw and ear pain

Release 4 — day 14, dose 2

2021-02-21

Symptoms: Pain and weakness in left knee

Release 4 — day 21, dose 2

2021-02-28

Symptoms: Left arm muscle very sore

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Congestion, sore throat, fatigue, ear pressure, laryngitis

Release 9 — day 0, dose 3

2021-10-01

Systemic reaction (other): Burning pain down arm and tingling in fingers for about 20 minutes after shot

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): White tongue

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Joint pains likely due to having to stop RA meds for a week after shot

2021-10-05

Systemic reaction (other): Joint pain increasing likley due to time off w RA meds

2021-10-06

Systemic reaction (other): Likely due to being off RA meds this week due to shot

2021-10-07

Systemic reaction (other): Likely due to beimg off RA meds for a week after getting shot

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Urinary tract infection

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	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Laryngitis	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tongue coated	·	·	✓

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