ZKB-17204-59674

4 vaccinations 7 coded responses 26 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 920 / CA
Registered: 2021-02-02

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

2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-02
Registered in v-safe
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Gait disturbance, Pain in extremity, Peripheral swelling, Somnolence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Swollen L leg, pain L calf knee thigh, difficulty walking, going up & down stairs, started with pain behind L knee about 3-4 d after vaccine dose 2. Tired & sleepy starting d 3. Still tired, leg improving but not normal yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Joint swelling, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: L knee, leg still swollen & painful, but not getting worse. Improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 28, dose 2
MedDRA: Arrhythmia, Arthralgia, Joint 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: L knee continues to be painful & swollen.Heart : irregular cardiac rhythms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 35, dose 2
MedDRA: Arthralgia, Heart rate irregular, Joint swelling, Pain in extremity, Palpitations, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: L knee & leg improving, swelling down, pain inside L knee, calf & thigh decreasing.Cardiac rhythm still irregular & racing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Heart rate irregular, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in both knees, but not too bad about 2/10 on 10 point scale.Cardiac frequent irregular & racing, tired, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Discomfort, Heart rate irregular, Palpitations, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Continuation of racing heart followed by irregular heart rhythm, but less frequent. Slight discomfort in L knee sometimes, but much better. Overall mental function & physical well-being better. · Healthcare visit (other): 1-2 months ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Call 1 — Left Voicemail
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-11-17
Dose 3 — Pfizer-BioNTech
2022-06-01
Dose 4 — Moderna
2022-06-22
Survey response — day 21, dose 4
MedDRA: Arthralgia, Lip swelling, Paraesthesia oral, Peripheral swelling, Rash, Rash erythematous, Rash papular, Swelling, Swelling face, Swollen tongue — 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: Swollen legs, pain left knee, red bumpy rash face & neck, swollen face & neck, swollen tingly lips & tongue

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Report sent to call center — day 21, dose 4
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)
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call successful
Participant prefers to complete VAERS report online
2022-06-29
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-06-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	No
4	2022-06-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-08	Successful	Participant prefers to complete VAERS report online
2021-03-22	Successful	Participant prefers to complete VAERS report online
2021-03-29	Successful	Participant prefers to complete VAERS report online
2021-05-27	Successful 2021-11-04	Participant prefers to complete VAERS report online
2022-06-22	Successful 2022-06-23	Participant prefers to complete VAERS report online

Free text

Release 5 — day 14, dose 2

2021-03-08

Symptoms: Swollen L leg, pain L calf knee thigh, difficulty walking, going up & down stairs, started with pain behind L knee about 3-4 d after vaccine dose 2. Tired & sleepy starting d 3. Still tired, leg improving but not normal yet.

Release 5 — day 21, dose 2

2021-03-15

Symptoms: L knee, leg still swollen & painful, but not getting worse. Improving.

Release 6 — day 28, dose 2

2021-03-22

Symptoms: L knee continues to be painful & swollen.Heart : irregular cardiac rhythms

Release 6 — day 35, dose 2

2021-03-29

Symptoms: L knee & leg improving, swelling down, pain inside L knee, calf & thigh decreasing.Cardiac rhythm still irregular & racing.

Release 6 — day 42, dose 2

2021-04-05

Symptoms: Pain in both knees, but not too bad about 2/10 on 10 point scale.Cardiac frequent irregular & racing, tired, fatigue.

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Continuation of racing heart followed by irregular heart rhythm, but less frequent. Slight discomfort in L knee sometimes, but much better. Overall mental function & physical well-being better.

Healthcare visit (other): 1-2 months ago

Release 12 — day 21, dose 4

2022-06-22

Symptoms: Swollen legs, pain left knee, red bumpy rash face & neck, swollen face & neck, swollen tingly lips & tongue

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	Unevaluable event	✓	✓	✓
SD	Arrhythmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lip swelling	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia oral	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Rash papular	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Swelling	·	·	✓
SD	Swelling face	·	·	✓
SD	Swollen tongue	·	·	✓

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