ZVT-26114-65840

4 vaccinations 7 coded responses 42 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 601 / IL
Registered: 2021-04-20

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
2021-04-20
Registered in v-safe
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache, Joint pains

Free text: I have arthritis which could be cause of symptoms, or perhaps my autoimmune disease is being aggravated by vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Nasopharyngitis — Feeling: Good · Site: Pain · Joint pains

Free text: I believe the joint pain to be my arthritis as there is a cold front that arrived today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Dose 3 — Pfizer-BioNTech
2021-10-20
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat. Likely a cold.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Survey response — day 14, dose 3
MedDRA: Fatigue, Nasopharyngitis — Feeling: Fair

Free text: Fee rundown, like I have a cold.

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

Adult check-in
2021-11-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-19
Survey response — 3 months, dose 3
MedDRA: Chest pain — Feeling: Good

Free text: Occasional chest pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Dose 4 — Moderna
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain — Feeling: Good · Site: Pain

Free text: Occasional chest pain on my right side (under breast, close to sternum) I have never experienced this previously.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Palpitations — Feeling: Good

Free text: Occasional heart palpitations. Will discuss with MD at physical.

MedDRA releases: 2024-11 · check-in free text available
2023-04-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-04-14	Moderna	No

Free text

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): I have arthritis which could be cause of symptoms, or perhaps my autoimmune disease is being aggravated by vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): I believe the joint pain to be my arthritis as there is a cold front that arrived today.

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Sore throat. Likely a cold.

Release 10 — day 14, dose 3

2021-11-03

Symptoms: Fee rundown, like I have a cold.

Release 10 — 3 months, dose 3

2022-01-19

Symptoms: Occasional chest pain.

Release 11 — days 1–6 daily, dose 4

2022-04-16

Systemic reaction (other): Occasional chest pain on my right side (under breast, close to sternum) I have never experienced this previously.

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Occasional heart palpitations. Will discuss with MD at physical.

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	Chest pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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