ZWU-18854-22058

4 vaccinations 13 coded responses 38 check-ins 13 free-text entries 1 call case

Sex: —
Age at first dose: 36-40
ZIP prefix: 802 / CO
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 1
MedDRA: Erythema, Self-medication, Swelling — Feeling: Fair · Site: Redness, Swelling

Free text: Had a bit of whole body redness & slight swelling initially but benadryl knocked it out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Itching · Muscle or body aches

Free text: I'm disabled/have CRPS/RSD in 3/4 of my body, hard to tell if I'm just flared up just because or if the flare up is related to vaccine. I suspect it's unrelated so am going to choose "mild" below, even tho the flare up pain is moderate-severe. Hope that makes sense

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Condition aggravated, Fatigue, Myalgia, Pain, Pre-existing disease — Feeling: Good · Headache

Free text: Again, CRPS/RSD pain slightly flared up but doubt that has anything to do w vaccine so hesitate to click joint pain, muscle/body aches & fatigue as I'm pretty sure it's all unrelated...figure I shld mention just in case tho.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Good

Free text: CRPS/RSD pain still flared up, likely bc of weather. Otherwise I'm good today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Arthralgia, Complex regional pain syndrome, Condition aggravated, Pain in extremity, Pre-existing disease, Thrombosis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fairly severe pain in LUE/Shoulder, L hip & leg. Unknown cause for either, suspect over use due to CRPS flare up for shoulder/LUE. Suspect possible blood clot or similar in hip/leg (known issue, covid prevented tests/treatmnt last yr, see dr soon)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in left (good) arm, so severe I cldnt sleep nor sit still. After approx 15mins it dulled & stopped approx 5mins later - at which point it did the exact same thing in right arm, WTH? SO WEIRD lolBreathings harder, on 02 tho so likely unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-11
Dose 4 — Pfizer-BioNTech
2022-05-11
Survey response — day 0, dose 4
MedDRA: Pruritus, Respiratory tract irritation, Self-medication, Throat irritation — Feeling: Good · Fatigue or tiredness

Free text: Itchy like possibly beginnings of rash, throat and lungs got scratchy for a bit but took benedryl and feel much better now

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: The "pain" is just around injection site, slightly sore. Also, I'm disabled: the question on next part should have an n/a option.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — days 1–6 daily, dose 4
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I often have migraines so it's likely the headache/migraine is unrelated to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2022-05-18
Survey response — day 7, dose 4
MedDRA: Surgery — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had surgery yesterday. Also, the last few days my check in link wouldn't work so I couldn't update.The question on the next page shld be answered NA but if i did work, go to school ext then yes, I'd have missed today

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Survey response — day 42, dose 4
MedDRA: Fatigue, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: idk if it counts but: I'm EXHAUSTED no matter how much I sleep. I'm mostly bed ridden due to unrelated health issues. Every time I try doing things I normally do to pass time I start nodding off before I can start, take a nap & repeat all day/night

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Survey response — 3 months, dose 4
MedDRA: Fatigue, Hypersomnia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Exhausted all the time, sleeping a LOT more than usual. I'm disabled so the work/school question doesn't apply to me. I plan to discuss with my dr at next appt but hvnt yet done so. Likely unrelated to vaccine. · Healthcare visit (other): I haven't gone yet but will discuss with my PCP at next visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-11
Call 1 — Left Voicemail
2022-11-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-11-15	Moderna	No
4	2022-05-11	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): Had a bit of whole body redness & slight swelling initially but benadryl knocked it out

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): I'm disabled/have CRPS/RSD in 3/4 of my body, hard to tell if I'm just flared up just because or if the flare up is related to vaccine. I suspect it's unrelated so am going to choose "mild" below, even tho the flare up pain is moderate-severe. Hope that makes sense

2021-04-14

Systemic reaction (other): Again, CRPS/RSD pain slightly flared up but doubt that has anything to do w vaccine so hesitate to click joint pain, muscle/body aches & fatigue as I'm pretty sure it's all unrelated...figure I shld mention just in case tho.

2021-04-15

Systemic reaction (other): CRPS/RSD pain still flared up, likely bc of weather. Otherwise I'm good today

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Fairly severe pain in LUE/Shoulder, L hip & leg. Unknown cause for either, suspect over use due to CRPS flare up for shoulder/LUE. Suspect possible blood clot or similar in hip/leg (known issue, covid prevented tests/treatmnt last yr, see dr soon)

Release 8 — day 42, dose 2

2021-05-21

Symptoms: Pain in left (good) arm, so severe I cldnt sleep nor sit still. After approx 15mins it dulled & stopped approx 5mins later - at which point it did the exact same thing in right arm, WTH? SO WEIRD lolBreathings harder, on 02 tho so likely unrelated. cut off by CDC

Release 11 — day 0, dose 4

2022-05-11

Systemic reaction (other): Itchy like possibly beginnings of rash, throat and lungs got scratchy for a bit but took benedryl and feel much better now

Release 11 — days 1–6 daily, dose 4

2022-05-12

Systemic reaction (other): The "pain" is just around injection site, slightly sore. Also, I'm disabled: the question on next part should have an n/a option.

2022-05-13

Systemic reaction (other): I often have migraines so it's likely the headache/migraine is unrelated to vaccine.

Release 11 — day 7, dose 4

2022-05-18

Systemic reaction (other): Had surgery yesterday. Also, the last few days my check in link wouldn't work so I couldn't update.The question on the next page shld be answered NA but if i did work, go to school ext then yes, I'd have missed today

Release 12 — day 42, dose 4

2022-06-22

Symptoms: idk if it counts but: I'm EXHAUSTED no matter how much I sleep. I'm mostly bed ridden due to unrelated health issues. Every time I try doing things I normally do to pass time I start nodding off before I can start, take a nap & repeat all day/night cut off by CDC

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: Exhausted all the time, sleeping a LOT more than usual. I'm disabled so the work/school question doesn't apply to me. I plan to discuss with my dr at next appt but hvnt yet done so. Likely unrelated to vaccine.

Healthcare visit (other): I haven't gone yet but will discuss with my PCP at next visit

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	Arthralgia	✓	✓	✓
SD	Complex regional pain syndrome	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Thrombosis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Migraine	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Respiratory tract irritation	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Surgery	·	·	✓
SRO	Swelling	✓	✓	✓
SRO	Throat irritation	·	·	✓

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