4XY-27352-97786

2 vaccinations 18 coded responses 19 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 170 / PA
Registered: 2021-10-08

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-10-07
Dose 1 — Pfizer-BioNTech
2021-10-08
Registered in v-safe
2021-10-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Left chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pulse abnormal — Feeling: Fair

Free text: Periodic left chest pains, hearing heart beat in ears

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 7, dose 1
MedDRA: Chest pain, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart racing, left chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-11-03
Dose 2 — Pfizer-BioNTech
2021-11-04
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Myalgia — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe pain in trapezius muscle area and burning in armpit area both same side as injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia, Neck pain, Skin irritation — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe pain left shoulder, posterior base of neck area, trapezius area all on left side, side of injection. Hurts so much, feel like I was hanging on a meat hook. Minor left armpit irritation.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chest pain, Hypoaesthesia, Myalgia, Neck pain, Pain, Pain in extremity, Skin irritation — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Continued severe left shoulder pain especially with certain movements, moderate left armpit irritation, decreasing but low-Moderate neck and trapezius area pain, moderate left chest pain later in day, pain and numbing of toes overnight

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Arthralgia, Axillary pain, Back pain, Brain fog, Depressed mood, Hypoaesthesia, Mood altered — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left arm numb feeling, continuing left shoulder and upper back pain - pls address if this is known side effect from vaccine or from injection location!, soreness left armpit, extreme mood change w/o other reason - extreme sadness, anxiety, brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Arthralgia, Burning sensation, Myalgia, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Surprising intense burning in left arm, extreme pain resumed posterior base of neck & left shoulder & trapezius area. Worry & anxiety increasing.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Burning sensation, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Constant and severe pain at posterior base of neck and across shoulders and upper back. Burning sensation left armpit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 2
MedDRA: Arthralgia, Headache, Joint noise, Musculoskeletal stiffness, Neck 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: Severe neck pain, neck crepitus, pain radiating up back of head, extremely stiff neck, pain across shoulders very worried, had prior spinal cord injury

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 14, dose 2
MedDRA: Arthralgia, Crepitations, Neck pain, Nuchal rigidity, Pain, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ringing in ears (occasional).Worsening pain lower skull behind ears to neck spanning across both sides.Minimal change in neck rigidity, neck crepitus, and continued pain across shoulders. Regret vaccine-can't get info or prognosis.CDC should look at.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Headache, Joint noise, Neck pain, Nuchal rigidity, Office visit, Sleep disorder, Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Scary neck crepitus persists as does neck rigidity, and neck, upper back, & shoulder pain. Neck cracking is loud & wakes me from sleep. Started to get floaters in eyes. Low grade but persistent headache. · Healthcare visit (other): Office visit -actually missed mentioning at last check-in, occurred previously

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
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)
2021-12-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Burning sensation, Crepitations, Headache, Musculoskeletal stiffness, Neck pain, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Please help.CDC pls research reports of debilitating neck & shoulder pain months after shot. Dr.s are incapable of diagnosing! My issues-crepitus,pain,stiffness,Burning in upper back, neck & baseof neck,shoulders. Headaches.Terrible.Call if need info

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Crepitations, Myalgia, Neck pain, Nuchal rigidity, Spinal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Neck crepitus, rigidity,& pain in neck & trapezius area persists. New-acute, excruciating pains across lower back. Also new-pain in both knee joints. Have never had knee problems.spreading of more spine related pain is extremely concerning!

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — day 42, dose 2
MedDRA: Back pain, Crepitations, Neck pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing neck crepitus; still unresolved (or explained) neck, back, and trapezius area pain that migrates. I'm 100% certain it is from vaccine-no study needed! As certain as one tripping down stairs & breaking ankle is that break is from fall!

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Call 1 — Left Voicemail
2022-02-02
Survey response — 3 months, dose 2
MedDRA: Anxiety, Brain fog, Crepitations, Muscle fatigue, Muscle rigidity, Neck pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued neck pain,rigidity, crepitus that radiates up to base of skull. Significant increase in problem with neck fatigue. Increased anxiety. Brain fog. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-03
Call 1 — Left Voicemail
2022-05-04
Survey response — 6 months, dose 2
MedDRA: Anxiety, Arthralgia, Depressed mood, Disturbance in attention, Emotional distress, Headache, Neck pain, Office visit, Pre-existing disease — 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

Free text: Symptoms: Significant increase in anxiety, feelings of depression, lack of focus, inability to concentrate,neck pain,pain in base of skull,headaches, shoulder pain.Continually seeking to find diagnosis & relief, so far without success. Very distressing. · Healthcare visit (other): In-person office visits; X-rays & neck & brain mri's at imaging centers

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
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)
2022-05-05
Call 1 — Left Voicemail
2022-11-03
Survey response — 12 months, dose 2
MedDRA: Abnormal loss of weight, Chest pain, Cognitive disorder, Crepitations, Fatigue, Headache, Nervousness, Office visit, Pre-existing disease — 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 · Emergency room or emergency department visit

Free text: Symptoms: Extraordinary fatigue,internal tremors, cognitive dysfunction, unintentional dramatic weight loss, headaches, chest pain, neck crepitus returned after briefly lessening- diagnosed with long covid · Healthcare visit (other): Office visit, long COVID treatment prgm

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
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

Emergency room or emergency department visit · 1 call case(s)
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-07	Pfizer-BioNTech	No
2	2021-11-03	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-08

Systemic reaction (other): Left chest pain

2021-10-09

Systemic reaction (other): Periodic left chest pains, hearing heart beat in ears

Release 10 — day 7, dose 1

2021-10-14

Systemic reaction (other): Heart racing, left chest pain

Release 10 — days 1–6 daily, dose 2

2021-11-04

Systemic reaction (other): Severe pain in trapezius muscle area and burning in armpit area both same side as injection arm

2021-11-05

Systemic reaction (other): Severe pain left shoulder, posterior base of neck area, trapezius area all on left side, side of injection. Hurts so much, feel like I was hanging on a meat hook. Minor left armpit irritation.

2021-11-06

Systemic reaction (other): Continued severe left shoulder pain especially with certain movements, moderate left armpit irritation, decreasing but low-Moderate neck and trapezius area pain, moderate left chest pain later in day, pain and numbing of toes overnight

2021-11-07

Systemic reaction (other): Left arm numb feeling, continuing left shoulder and upper back pain - pls address if this is known side effect from vaccine or from injection location!, soreness left armpit, extreme mood change w/o other reason - extreme sadness, anxiety, brain fog cut off by CDC

2021-11-08

Systemic reaction (other): Surprising intense burning in left arm, extreme pain resumed posterior base of neck & left shoulder & trapezius area. Worry & anxiety increasing.

2021-11-09

Systemic reaction (other): Constant and severe pain at posterior base of neck and across shoulders and upper back. Burning sensation left armpit.

Release 10 — day 7, dose 2

2021-11-11

Systemic reaction (other): Severe neck pain, neck crepitus, pain radiating up back of head, extremely stiff neck, pain across shoulders very worried, had prior spinal cord injury

Release 10 — day 14, dose 2

2021-11-17

Symptoms: Ringing in ears (occasional).Worsening pain lower skull behind ears to neck spanning across both sides.Minimal change in neck rigidity, neck crepitus, and continued pain across shoulders. Regret vaccine-can't get info or prognosis.CDC should look at. cut off by CDC

Release 10 — day 21, dose 2

2021-11-24

Symptoms: Scary neck crepitus persists as does neck rigidity, and neck, upper back, & shoulder pain. Neck cracking is loud & wakes me from sleep. Started to get floaters in eyes. Low grade but persistent headache.

Healthcare visit (other): Office visit -actually missed mentioning at last check-in, occurred previously

Release 10 — day 28, dose 2

2021-12-01

Symptoms: Please help.CDC pls research reports of debilitating neck & shoulder pain months after shot. Dr.s are incapable of diagnosing! My issues-crepitus,pain,stiffness,Burning in upper back, neck & baseof neck,shoulders. Headaches.Terrible.Call if need info cut off by CDC

Release 10 — day 35, dose 2

2021-12-08

Symptoms: Neck crepitus, rigidity,& pain in neck & trapezius area persists. New-acute, excruciating pains across lower back. Also new-pain in both knee joints. Have never had knee problems.spreading of more spine related pain is extremely concerning!

Release 10 — day 42, dose 2

2021-12-16

Symptoms: Continuing neck crepitus; still unresolved (or explained) neck, back, and trapezius area pain that migrates. I'm 100% certain it is from vaccine-no study needed! As certain as one tripping down stairs & breaking ankle is that break is from fall!

Release 11 — 3 months, dose 2

2022-02-02

Symptoms: Continued neck pain,rigidity, crepitus that radiates up to base of skull. Significant increase in problem with neck fatigue. Increased anxiety. Brain fog.

Healthcare visit (other): Office visit

Release 11 — 6 months, dose 2

2022-05-04

Symptoms: Significant increase in anxiety, feelings of depression, lack of focus, inability to concentrate,neck pain,pain in base of skull,headaches, shoulder pain.Continually seeking to find diagnosis & relief, so far without success. Very distressing.

Healthcare visit (other): In-person office visits; X-rays & neck & brain mri's at imaging centers

Release 12 — 12 months, dose 2

2022-11-03

Symptoms: Extraordinary fatigue,internal tremors, cognitive dysfunction, unintentional dramatic weight loss, headaches, chest pain, neck crepitus returned after briefly lessening- diagnosed with long covid

Healthcare visit (other): Office visit, long COVID treatment prgm

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	Abnormal loss of weight	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Burning sensation	·	·	✓
SD	Chest pain	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Crepitations	·	·	✓
SD	Depressed mood	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Emotional distress	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint noise	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Muscle rigidity	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Nervousness	·	·	✓
SD	Nuchal rigidity	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Spinal pain	·	·	✓
SD	Tinnitus	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Back pain	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Headache	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Joint noise	·	·	✓
SRO	Mood altered	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pulse abnormal	·	·	✓
SRO	Skin irritation	·	·	✓

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