ZZA-15049-74556

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 939 / CA
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I had these symptoms prior to receiving the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light-headed east, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph nodes, difficulty breathing, light-headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breathe, light-headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in all my bones and joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 42, dose 2
MedDRA: Arthralgia, Bone pain, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ache and pain in all bones, joints and muscles. The question on the next page will not accept my answer. I dont know if worsening is due to covid vaccine or not. Only yes and no answers are provided.It wont accept it without an answer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-15
Survey response — 12 months, dose 2
MedDRA: Breast cancer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I developed lobular breast cancer in September.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech

Free text

Release 4 — day 0, dose 1

2021-02-22

Systemic reaction (other): I had these symptoms prior to receiving the vaccine

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Shortness of breath

2021-03-17

Systemic reaction (other): Light-headed east, shortness of breath

2021-03-18

Systemic reaction (other): Swollen lymph nodes, difficulty breathing, light-headed

2021-03-19

Systemic reaction (other): Shortness of breathe, light-headedness

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Pain in all my bones and joints.

Release 7 — day 42, dose 2

2021-04-26

Symptoms: Ache and pain in all bones, joints and muscles. The question on the next page will not accept my answer. I dont know if worsening is due to covid vaccine or not. Only yes and no answers are provided.It wont accept it without an answer.

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: I developed lobular breast cancer in September.

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	Bone pain	✓	✓	✓
SD	Breast cancer	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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