586-36712-97106

2 vaccinations 11 coded responses 23 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 968 / HI
Registered: 2021-11-03

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

2021-11-03
Registered in v-safe
2021-11-03
Dose 1 — Pfizer-BioNTech
2021-11-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Vaccination site reaction — Feeling: Good

Free text: Stiffness of the upper left arm (area of vaccination).

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

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pharyngeal swelling — Feeling: Good

Free text: Slight swollen throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-11-17
Survey response — day 14, dose 1
MedDRA: Increased appetite, Throat irritation, Unevaluable event — Feeling: Good

Free text: Tickling throat, enormous appetite and corresponding digestive activity!

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Dose 2 — Pfizer-BioNTech
2021-11-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-11-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Medical counselling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Systemic reaction (other): violent shivering · Healthcare visit (other): I can't afford health insurance so consulted with my friend who is an MD at (b)(6) Hospital, (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — days 1–6 daily, 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)
2021-11-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My lower back & pelvis are astonishingly painful. I am unable to get up or sit down properly, lying down most of the time. Can only wear flip flops, unable to tie shoes. Yesterday I was so sick I stayed in bed & drifted in & out of consciousness.

Adult check-in · check-in free text available
2021-11-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Back pain, Pelvic pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lower back & pelvic pain, that's extremely persistent & incapacitating.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Back pain, Mobility decreased, Muscle tightness, Musculoskeletal discomfort, Pelvic discomfort, Pelvic pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Persistent lower back and pelvic pain and discomfort. Unable to put on footwear and lower body clothing. Torso/abdomen still taught and swollen.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort, Back pain, Pelvic pain, Sleep disorder — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Persistent lower back & pelvic pain. Inconsistent sleeping & digestive discomfort, which seem to be related to the lower back & pelvic pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Dysstasia, Mobility decreased, Pelvic pain, Proctalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: left pelvic, abdominal, & rectal pain. Unable to lift leg & have to use my hands to lift it up. Unable to get up or sit down properly. Unable to sit for more then 5-6 minutes at a time. Pelvic & rectal pain related. Very challenging for an athlete!

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 28, dose 2
MedDRA: Back disorder, Bone pain, Gait disturbance, Gastrointestinal disorder, Joint swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left knee has swollen (outer side) significantly. Unable to walk down hill or down stairs. Left hip/pelvic bone is less painful, now migrated down to knee. Abdominal and lower back issues still persist.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-17
Call 1 — Left Voicemail
2022-01-24
Call 2 — Left Voicemail
2022-01-25
Call successful
Participant prefers to complete VAERS report online
2022-02-23
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Arthralgia, Bone pain, Contusion, Gait disturbance, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme pain in left knee and tibia. Heavy bruising for no obvious reason, limping for several weeks, difficulty sleeping. Still abdominal distention.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Fatigue, Gastrointestinal disorder, Impaired work ability, Loss of personal independence in daily activities, Muscle fatigue, Office visit, Pyrexia — 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

Free text: Symptoms: Fever, exhaustion, muscle fatigue, swollen abdomen, digestive problems, unable to work or function. · Healthcare visit (other): Colon hydrotherapy, chiropractor - medical profession is the cause of my problems!

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
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)
2022-05-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-03	Pfizer-BioNTech	No
2	2021-11-24	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-11-04

Systemic reaction (other): Stiffness of the upper left arm (area of vaccination).

2021-11-07

Systemic reaction (other): Slight swollen throat

Release 10 — day 14, dose 1

2021-11-17

Symptoms: Tickling throat, enormous appetite and corresponding digestive activity!

Release 10 — days 1–6 daily, dose 2

2021-11-25

Systemic reaction (other): violent shivering

Healthcare visit (other): I can't afford health insurance so consulted with my friend who is an MD at (b)(6) Hospital, (b)(6)

redacted (b)(6)

2021-11-29

Systemic reaction (other): Lower back & pelvic pain, that's extremely persistent & incapacitating.

2021-11-30

Systemic reaction (other): Persistent lower back and pelvic pain and discomfort. Unable to put on footwear and lower body clothing. Torso/abdomen still taught and swollen.

Release 10 — day 7, dose 2

2021-12-01

Systemic reaction (other): Persistent lower back & pelvic pain. Inconsistent sleeping & digestive discomfort, which seem to be related to the lower back & pelvic pain.

Release 10 — day 21, dose 2

2021-12-15

Symptoms: left pelvic, abdominal, & rectal pain. Unable to lift leg & have to use my hands to lift it up. Unable to get up or sit down properly. Unable to sit for more then 5-6 minutes at a time. Pelvic & rectal pain related. Very challenging for an athlete! cut off by CDC

Release 10 — day 28, dose 2

2021-12-22

Symptoms: Left knee has swollen (outer side) significantly. Unable to walk down hill or down stairs. Left hip/pelvic bone is less painful, now migrated down to knee. Abdominal and lower back issues still persist.

Release 11 — 3 months, dose 2

2022-02-23

Symptoms: Extreme pain in left knee and tibia. Heavy bruising for no obvious reason, limping for several weeks, difficulty sleeping. Still abdominal distention.

Release 11 — 6 months, dose 2

2022-05-25

Symptoms: Fever, exhaustion, muscle fatigue, swollen abdomen, digestive problems, unable to work or function.

Healthcare visit (other): Colon hydrotherapy, chiropractor - medical profession is the cause of my problems!

Release 12 — days 1–6 daily, dose 2

2021-11-28

Systemic reaction (other): My lower back & pelvis are astonishingly painful. I am unable to get up or sit down properly, lying down most of the time. Can only wear flip flops, unable to tie shoes. Yesterday I was so sick I stayed in bed & drifted in & out of consciousness.

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	Office visit	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back disorder	·	·	✓
SD	Bone pain	·	·	✓
SD	Contusion	·	·	✓
SD	Dysstasia	·	·	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Increased appetite	·	·	✓
SD	Insomnia	·	·	✓
SD	Joint swelling	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Pelvic pain	·	·	✓
SD	Proctalgia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Musculoskeletal discomfort	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Pelvic discomfort	·	·	✓
SRO	Pelvic pain	·	·	✓
SRO	Pharyngeal swelling	·	·	✓
SRO	Sleep disorder	·	·	✓
SRO	Vaccination site reaction	·	·	✓

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