4TL-15882-12749

4 vaccinations 14 coded responses 28 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 028 / RI
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 2
MedDRA: Arthralgia, Back pain, Condition aggravated, Inflammation, Myalgia, Neck pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Flaring up of chronic medical issues that already exist. Like muscle pain, joint pain, neck and back pain, basically any inflammatory conditions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Worsening of existing inflammatory preexisting medical conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Pain, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Worsening of pain that was already there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Back pain, Dysstasia, Gait disturbance, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: couple days after my second shot i had sudden progressive worsening of my lower back pain and inability to stand up from chairs/bed and my waking was effected. Ive had preexisting neuro stuff but not like this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Gait disturbance, Hypotension, Movement disorder, Neuralgia — Feeling: Poor · 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, Hospitalization

Free text: Horrible low back pain, problems walking, lifting up legs, horrible nerve pain. Really low blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — day 28, dose 2
MedDRA: Back pain, Balance disorder, Gait disturbance — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Very extremely bad low back pain with trouble walking and supportng myself and it hasn't gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
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)
2021-05-31
Survey response — day 35, dose 2
MedDRA: Back pain, Dysarthria, Dysphemia, Gait disturbance, Pain in extremity, Tremor — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Low back pain with horrible leg pain. And trouble walking.Tremors and stuttering slurring my words.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
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)
2021-06-07
Survey response — day 42, dose 2
MedDRA: Back pain, Condition aggravated, Pain in extremity, Pre-existing disease — 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: Worse back pain with leg pain that already existed, worse neurologic conditions that already existed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Back pain, Gait disturbance, Headache, Myalgia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Worsening of low back, neck, and head pain. Difficulty walking and muscles tending all over

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Call 1 — Could Not Reach Participant
2021-09-13
Call successful
Participant prefers to complete VAERS report online
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-02
Dose 3 — Pfizer-BioNTech
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Dystonia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dystonia

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Dose 4 — Pfizer-BioNTech
2022-05-03
Health check-in — day 0, dose 4
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Worsening of muscle spasms

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Worsened muscle spasms

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — day 21, dose 4
MedDRA: Brain fog, Dizziness, Fatigue, Flank pain, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flank pain, exhaustion, dizzy, foggy and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Survey response — day 28, dose 4
MedDRA: Cough, Fatigue, Myalgia, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Couch, muscle aches, sore throat, tiny nose, fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-05-03
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No
4	2022-05-03	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Flaring up of chronic medical issues that already exist. Like muscle pain, joint pain, neck and back pain, basically any inflammatory conditions.

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Worsening of existing inflammatory preexisting medical conditions

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Worsening of pain that was already there

Release 8 — day 14, dose 2

2021-05-08

Symptoms: couple days after my second shot i had sudden progressive worsening of my lower back pain and inability to stand up from chairs/bed and my waking was effected. Ive had preexisting neuro stuff but not like this.

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Horrible low back pain, problems walking, lifting up legs, horrible nerve pain. Really low blood pressure

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Very extremely bad low back pain with trouble walking and supportng myself and it hasn't gone away.

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Low back pain with horrible leg pain. And trouble walking.Tremors and stuttering slurring my words.

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Worse back pain with leg pain that already existed, worse neurologic conditions that already existed.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Worsening of low back, neck, and head pain. Difficulty walking and muscles tending all over

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Dystonia

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): Worsening of muscle spasms

2022-05-08

Systemic reaction (other): Worsened muscle spasms

Release 11 — day 21, dose 4

2022-05-27

Symptoms: Flank pain, exhaustion, dizzy, foggy and sore throat

Release 11 — day 28, dose 4

2022-06-02

Symptoms: Couch, muscle aches, sore throat, tiny nose, fatigue

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	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysarthria	✓	✓	✓
SD	Dysphemia	✓	✓	✓
SD	Dysstasia	✓	✓	✓
SD	Dystonia	·	·	✓
SD	Fatigue	·	·	✓
SD	Flank pain	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	✓	·	✓
SD	Hypotension	✓	✓	✓
SD	Movement disorder	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	✓	·	✓
SD	Neuralgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Abdominal pain	✓	✓	○
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Muscle spasms	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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