Y25-32100-54205

2 vaccinations 13 coded responses 20 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 378 / TN
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains

Free text: Fibromyalgia may be the reason for joint pain but it has been a little more intense but not by much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Vaccination site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Might be carpal tunnel and fibromyalgia causing joint and muscle pain; vaccine site still a little sore but much improved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Nausea, Abdominal pain

Free text: Fibromyalgia and i think my IBS was triggered by something i ate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Fibromyalgia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good

Free text: My knee is sore like i may have pulled something. Or my fibromyalgia is targeting the knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 1
MedDRA: Arthralgia, Urinary tract infection — Feeling: Good

Free text: Uti has waxed and wanned; knee made a pop when I moved it and now it is tender?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia and menstrual cycle is starting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Just a little more fatigued than usual, I think my menstrual cycle might be near

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Blood iron decreased, Brain fog, Seasonal allergy, Unevaluable event, Vitamin B12 decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Seasonal Allergies- Crape Myrtle Brain fog but my physician did blood work and had me add B-12 and iron containing multivitamin due to lower levels. · Healthcare visit (other): Follow up with fasting blood and urine testing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Seasonal Allergies- East Tennessee spring pollen

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-07-28	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Fibromyalgia may be the reason for joint pain but it has been a little more intense but not by much.

2021-04-09

Systemic reaction (other): Might be carpal tunnel and fibromyalgia causing joint and muscle pain; vaccine site still a little sore but much improved

2021-04-10

Systemic reaction (other): Fibromyalgia

2021-04-11

Systemic reaction (other): Fibromyalgia and i think my IBS was triggered by something i ate

2021-04-12

Systemic reaction (other): Fibromyalgia

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Fibromyalgia

Release 7 — day 14, dose 1

2021-04-20

Symptoms: My knee is sore like i may have pulled something. Or my fibromyalgia is targeting the knee

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Uti has waxed and wanned; knee made a pop when I moved it and now it is tender?

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Fibromyalgia

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Fibromyalgia and menstrual cycle is starting

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Just a little more fatigued than usual, I think my menstrual cycle might be near

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Seasonal Allergies- Crape Myrtle Brain fog but my physician did blood work and had me add B-12 and iron containing multivitamin due to lower levels.

Healthcare visit (other): Follow up with fasting blood and urine testing

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: Seasonal Allergies- East Tennessee spring pollen

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	Unevaluable event	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blood iron decreased	✓	·	✓
SD	Brain fog	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Seasonal allergy	✓	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Vitamin B12 decreased	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vaccination site pain	✓	✓	✓

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