2WY-15029-28580

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 781 / TX
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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Injection site pain, Urinary tract infection, Urine analysis abnormal — 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, Emergency room or emergency department visit

Free text: Within 8 hours slightly painful at sight of injection. On 3-15 sharp pain around lower back-hip area. X-ray didn't show anything. UTI positive and being treated with Doxycycline after a reaction to Augmentin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I finished medication for UTI yesterday, and still have symptoms, but I didn't report those symptoms because I already had them before vaccine,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Pain, Unevaluable event — Feeling: Poor · Be unable to do your 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, Emergency room or emergency department visit

Free text: Symptoms: Some symptoms vary day to day. Some are there all the time. I wake up to different pain that can last anywhere from a short time (day, or week) to a lengthy time (month/months). Lots of testing done..no resolution.. still in pain. · Healthcare visit (other): Pain Management soon

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Be unable to do your 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 · Emergency room or emergency department visit · 1 call case(s)
2021-09-28
Call successful
Does not wish to fill out VAERS report
2021-09-28
Call successful
Does not wish to fill out VAERS report
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Nervous system disorder, Tremor — Feeling: Good

Free text: I have been having some issues recently with the nerves in my right leg (shaking uncontrolled) and in my hands. I will be seeing a doctor soon about this. I have not spoken to anyone yet.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-19

Symptoms: Within 8 hours slightly painful at sight of injection. On 3-15 sharp pain around lower back-hip area. X-ray didn't show anything. UTI positive and being treated with Doxycycline after a reaction to Augmentin.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): I finished medication for UTI yesterday, and still have symptoms, but I didn't report those symptoms because I already had them before vaccine,

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Some symptoms vary day to day. Some are there all the time. I wake up to different pain that can last anywhere from a short time (day, or week) to a lengthy time (month/months). Lots of testing done..no resolution.. still in pain.

Healthcare visit (other): Pain Management soon

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: I have been having some issues recently with the nerves in my right leg (shaking uncontrolled) and in my hands. I will be seeing a doctor soon about this. I have not spoken to anyone yet.

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	Back pain	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nervous system disorder	·	·	✓
SD	Pain	·	·	✓
SD	Tremor	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Urine analysis abnormal	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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