4Q2-70119-54802

3 vaccinations 5 coded responses 17 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 483 / MI
Registered: 2020-12-22

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-22
Registered in v-safe
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches

Free text: I believe I may have a kidney stone, so this isn't likely due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Survey response — day 7, dose 1
MedDRA: Nephrolithiasis, Pain — Feeling: Good · Muscle or body aches

Free text: Aches are related to kidney stone, not vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-01-28
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Back pain, Burning sensation, Office visit, Pelvic pain, SARS-CoV-2 test negative, Ultrasound scan, Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have abdominal, back, and pelvic pain, plus it burns as though I have a UTI. Ive tested negative for everything though. I have an ultrasound in the morning. This began a few days after my first dose, and returned/intensified after my second. · Healthcare visit (other): Multiple outpatient visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Abdominal pain, Back pain, Pelvic pain — Feeling: Fair · 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

Free text: My abdominal, pelvic, and back pain has continued. In addition, my stomach is now bloating to the point of distention. I have been to the doctor several times now with a slew of tests run, but there is still no explanation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Emergency care, Pelvic discomfort — 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

Free text: My abdominal and pelvic cramps continue to worsen, to the point that I considered going to the ER on Saturday. They eased up from their most severe, but still continue without any identified cause, despite multiple doctor appointments.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-08
Dose 3 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2022-04-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2022-04-08	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): I believe I may have a kidney stone, so this isn't likely due to the vaccine.

Release 1 — day 7, dose 1

2020-12-28

Systemic reaction (other): Aches are related to kidney stone, not vaccine

Release 2 — day 21, dose 2

2021-01-28

Symptoms: I have abdominal, back, and pelvic pain, plus it burns as though I have a UTI. Ive tested negative for everything though. I have an ultrasound in the morning. This began a few days after my first dose, and returned/intensified after my second.

Healthcare visit (other): Multiple outpatient visits

Release 3 — day 28, dose 2

2021-02-04

Symptoms: My abdominal, pelvic, and back pain has continued. In addition, my stomach is now bloating to the point of distention. I have been to the doctor several times now with a slew of tests run, but there is still no explanation.

Release 4 — day 35, dose 2

2021-02-11

Symptoms: My abdominal and pelvic cramps continue to worsen, to the point that I considered going to the ER on Saturday. They eased up from their most severe, but still continue without any identified cause, despite multiple doctor appointments.

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	Office visit	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Pelvic discomfort	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Ultrasound scan	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Nephrolithiasis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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