6X9-19340-45024

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 633 / MO
Registered: 2021-02-22

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Survey response — day 7, dose 1
MedDRA: Neuralgia, Pain — Feeling: Poor · Joint pains, Muscle or body aches

Free text: Nerve pain upon walking or standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neuralgia, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sciatic nerve pain left hip and leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Sciatica — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sciatic nerve problem left leg & hip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Sciatica — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sciatic nerve problem: left leg, across sacrilumbar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Sciatic nerve neuropathy — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sciatic nerve pain left leg & hip!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Sacroiliac joint dysfunction, Sciatica — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sciatic nerve prob left leg& sacroiliac both hips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Back pain, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activities

Free text: L4, L5,S1 epidural for back pain, didnt take this time, have a hard time sweeping. Standing for longtime,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Sciatic nerve injury — Feeling: Good · Be unable to do your normal daily activities

Free text: Hyperparathyroidism disease diagnosed. Sciatic nerve problem fromL4/L5/S1. Pain from L4/L5 ..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Survey response — 6 months, dose 2
MedDRA: Office visit, Parathyroidectomy, Skin fissures — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cracks in right shin.Surgery to remove 2 parathyroid glands. · Healthcare visit (other): Visit dr office

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-09-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, probably from eating different food than usual. Am staying with daughter in CA for another week then back to MO.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Nerve pain upon walking or standing

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Sciatic nerve pain left hip and leg

2021-03-19

Systemic reaction (other): Sciatic nerve problem left leg & hip

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Sciatic nerve problem: left leg, across sacrilumbar

2021-03-21

Systemic reaction (other): Sciatic nerve pain left leg & hip!

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Sciatic nerve prob left leg& sacroiliac both hips

Release 7 — day 28, dose 2

2021-04-12

Symptoms: L4, L5,S1 epidural for back pain, didnt take this time, have a hard time sweeping. Standing for longtime,

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Hyperparathyroidism disease diagnosed. Sciatic nerve problem fromL4/L5/S1. Pain from L4/L5 ..

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Cracks in right shin.Surgery to remove 2 parathyroid glands.

Healthcare visit (other): Visit dr office

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Diarrhea, probably from eating different food than usual. Am staying with daughter in CA for another week then back to MO.

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	Back pain	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Parathyroidectomy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatic nerve injury	✓	✓	✓
SD	Skin fissures	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sacroiliac joint dysfunction	✓	✓	✓
SRO	Sciatic nerve neuropathy	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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