3KE-14562-43422

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 774 / TX
Registered: 2021-02-01

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-01
Registered in v-safe
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness, Pyrexia — Feeling: Good · Nausea

Free text: 1st night fever and flu like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: The fatigue comes and goes since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just feel weak and harder time breathing than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Restless legs syndrome — Feeling: Good

Free text: Ever since the 2nd vac I developed RLS. May be a coincidence but wanted to mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-23
Survey response — 6 months, dose 2
MedDRA: COVID-19, Gait disturbance, Gastrointestinal disorder, Rectal haemorrhage — Feeling: Poor · Be unable to work or attend school, 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: The problem with my legs got worse and now I can barely walk. I'm also having issues with my intestines. I had my antibodies checked recently and apparently I have had Covid. · Healthcare visit (other): I needed to be hospitalized last week due to rectal bleeding but no beds available

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-28
Call 1 — Left Voicemail
2021-08-30
Call successful
Participant prefers to complete VAERS report online
2022-02-22
Survey response — 12 months, dose 2
MedDRA: Amnesia, Asthenia, Confusional state, Dizziness, Fatigue, Gait inability, Gastrointestinal disorder, Hypoaesthesia, Medical counselling, Muscular weakness, Nausea, Pain, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to work or attend school, 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: My legs are extremely weak, I am very fatigued, confused, loss of memory, painful numbness in both hands. GI issues, I was suddenly unable to walk for 3 months and had severe pain, as stated in last check in. Always nauseated,no energy, dizzy. · Healthcare visit (other): I had to have in home care including nurse and PT.

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-23
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): 1st night fever and flu like symptoms

2021-02-03

Systemic reaction (other): The fatigue comes and goes since vaccine

2021-02-04

Systemic reaction (other): Just feel weak and harder time breathing than usual

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Ever since the 2nd vac I developed RLS. May be a coincidence but wanted to mention it.

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: The problem with my legs got worse and now I can barely walk. I'm also having issues with my intestines. I had my antibodies checked recently and apparently I have had Covid.

Healthcare visit (other): I needed to be hospitalized last week due to rectal bleeding but no beds available

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: My legs are extremely weak, I am very fatigued, confused, loss of memory, painful numbness in both hands. GI issues, I was suddenly unable to walk for 3 months and had severe pain, as stated in last check in. Always nauseated,no energy, dizzy.

Healthcare visit (other): I had to have in home care including nurse and PT.

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	Medical counselling	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Rectal haemorrhage	✓	·	✓
SD	Amnesia	·	·	✓
SD	Asthenia	·	·	✓
SD	Confusional state	·	·	✓
SD	COVID-19	✓	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	✓	·	✓
SD	Gait inability	·	·	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Restless legs syndrome	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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