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6EM-32375-48112

1 vaccination 6 coded responses 13 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
606 / IL
Registered
2021-10-18
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-10-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-10-18
    Registered in v-safe
  3. 2021-10-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Muscle twitching — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Arm twitching on same arm of injection (near elbow) and lower back pain
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Slight lower back pain
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-10-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Back pain — Feeling: Good · Muscle or body aches
    Free text: Unusual lower back pain and belly cramping, similar to menstrual cramps
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Dysmenorrhoea — Feeling: Good · Muscle or body aches
    Free text: Unusual lower back pain and menstrual like cramping in my belly
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-10-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-11-07
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain upper, Amenorrhoea, Back pain — Feeling: Fair
    Free text: Besides the back pain and belly cramping, i never got my period,so it is over 2 weeks late. It is not possible for me to be pregnant because I am currently not sexually active
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-11-16
    Survey response — day 28, dose 1
    MedDRA: Cardiac flutter, Heart rate irregular — 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
    Free text: I have developed a heart fluttering that is constant every single day, it started two weeks ago. Feels like a very abnormal heart rythm...like heart palpitations, but all day long
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-16
    Report sent to call center — day 28, dose 1
    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 · 1 call case(s)
  13. 2021-11-17
    Call successful
    Participant prefers to complete VAERS report online
  14. 2021-11-21
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-11-28
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-01-16
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  17. 2022-10-18
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-10-17Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-18

Systemic reaction (other): Arm twitching on same arm of injection (near elbow) and lower back pain

2021-10-19

Systemic reaction (other): Slight lower back pain

2021-10-22

Systemic reaction (other): Unusual lower back pain and belly cramping, similar to menstrual cramps

2021-10-23

Systemic reaction (other): Unusual lower back pain and menstrual like cramping in my belly

Release 10 — day 21, dose 1

2021-11-07

Symptoms: Besides the back pain and belly cramping, i never got my period,so it is over 2 weeks late. It is not possible for me to be pregnant because I am currently not sexually active

Release 10 — day 28, dose 1

2021-11-16

Symptoms: I have developed a heart fluttering that is constant every single day, it started two weeks ago. Feels like a very abnormal heart rythm...like heart palpitations, but all day long

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper · · ✓
SDAmenorrhoea · · ✓
SDBack pain · · ✓
SDCardiac flutter · · ✓
SDHeart rate irregular · · ✓
SROAbdominal pain upper · · ✓
SROBack pain · · ✓
SRODysmenorrhoea · · ✓
SROMuscle twitching · · ✓

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