2HF-22334-39274

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 7 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 980 / WA
Registered: 2021-11-12

Relationship: Child or adolescent in my care
Guardian: AUZ-24554-05150
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-11
Dose 1 — Pfizer-BioNTech
2021-11-12
Registered in v-safe
2021-11-12
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Dyskinesia, Muscle spasms — Feeling: Poor · Site: Pain · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: uncontrollable muscle spasms and head jerking

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — days 1–6 daily, dose 1, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-13
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Dyskinesia, Head titubation, Muscle spasms — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle spasms in his head and neck. Involuntary head jerking backwards. It's been happening since a few hours after we got the vaccine on Thursday

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Head titubation, Muscle spasms — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Muscle spasms and uncontrollable head jerking

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — days 1–6 daily, dose 1, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Conversion disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Functional neurological disorder

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — days 1–6 daily, dose 1, dependent
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-16
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Dyskinesia, Muscle spasms, Tic — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Functional Neurological Disorder? Head jerking. Spasms. Tic

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — days 1–6 daily, dose 1, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-16
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-17
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Dyskinesia, Muscle spasms — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: In controllable Head jerking, muscle spasms in neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — days 1–6 daily, dose 1, dependent
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Survey response — day 7, dose 1, dependent
MedDRA: Facial paralysis, Muscle spasms, Myoclonus, Seizure — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Temporary facial paralysis, mini seizures, Head jerking, muscle spasms

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 7, dose 1, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-19
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-27
Health check-in — day 14, dose 1, dependent
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-07
Dose 2 — Pfizer-BioNTech
2021-12-09
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: He still has the head jerking tic from the first shot. Nothing worse now though

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Tic — Feeling: Good

Free text: He still has the head tic from the first shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Tic — Feeling: Good

Free text: Same head tic since the first shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 7, dose 2, dependent
MedDRA: Tic, Vaccine positive rechallenge — Feeling: Good

Free text: Same tic from the first dose

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-08
Survey response — 3 months, dose 2, dependent
MedDRA: Tic, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The tic is getting worse. We are seeing a new doctor soon and hope to get in with a neurologist after that. This all started the day he got his first COVID shot. We hoped it would go away, but it has not. · Healthcare visit (other): We are waiting for an in-person doctor appointment that is coming up.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 3 months, dose 2, dependent
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-09
Call successful
Completed over the phone
2022-06-07
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 12 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-11	Pfizer-BioNTech	No
2	2021-12-07	Pfizer-BioNTech	No

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 7

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-12

Systemic reaction (other): uncontrollable muscle spasms and head jerking

2021-11-13

Systemic reaction (other): Muscle spasms in his head and neck. Involuntary head jerking backwards. It's been happening since a few hours after we got the vaccine on Thursday

2021-11-14

Systemic reaction (other): Muscle spasms and uncontrollable head jerking

2021-11-15

Systemic reaction (other): Functional neurological disorder

2021-11-16

Systemic reaction (other): Functional Neurological Disorder? Head jerking. Spasms. Tic

2021-11-17

Systemic reaction (other): In controllable Head jerking, muscle spasms in neck

Release 10 — day 7, dose 1, dependent

2021-11-18

Systemic reaction (other): Temporary facial paralysis, mini seizures, Head jerking, muscle spasms

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-09

Systemic reaction (other): He still has the head jerking tic from the first shot. Nothing worse now though

2021-12-12

Systemic reaction (other): He still has the head tic from the first shot

2021-12-13

Systemic reaction (other): Same head tic since the first shot

Release 10 — day 7, dose 2, dependent

2021-12-14

Systemic reaction (other): Same tic from the first dose

Release 11 — 3 months, dose 2, dependent

2022-03-08

Symptoms: The tic is getting worse. We are seeing a new doctor soon and hope to get in with a neurologist after that. This all started the day he got his first COVID shot. We hoped it would go away, but it has not.

Healthcare visit (other): We are waiting for an in-person doctor appointment that is coming up.

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	Tic	·	·	✓
SRO	Conversion disorder	·	·	✓
SRO	Dyskinesia	·	·	✓
SRO	Facial paralysis	·	·	✓
SRO	Head titubation	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Myoclonus	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Seizure	·	·	✓
SRO	Tic	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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