Y3Z-12964-10813

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 530 / WI
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Left arm numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Hypoaesthesia — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Free text: Numb left arm , feeling of heat behind the neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Morning sickness — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: A bit like morning sickness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Joint pains

Free text: Odd / head / focus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear pain, Muscle spasms, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Teeth hurt, ear hurts / Feels like I have been in a wreck. Dizzy. Leg and arm cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Feeling abnormal, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Arm pits hurt / feel odd / leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Insomnia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sleepless night / thumping in the stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Frontal sinus operation, Periorbital swelling, Sinus headache — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore arm pits / sinus headaches and drainage pocket under the right eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Fatigue, Headache — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Off and on headaches/ sore arm pits / tired but not able to sleep all night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 2
MedDRA: Axillary pain, Eye infection bacterial — Feeling: Good · Joint pains, Muscle or body aches

Free text: Sore arm pits (glands) / bacterial infection in both eyes (first time ever)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling abnormal, Myalgia, Pain in extremity — Feeling: Fair

Free text: Muscle aches deep in the bone - especially the left arm near the injection site / fatigue / brain fog (not typical of me)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 42, dose 2
MedDRA: Brain fog, Cognitive disorder, Memory impairment — Feeling: Fair

Free text: I am a teacher with an advanced degree. I have experienced foggy brain episodes. Ie - recalling the name of the state where my son lives. Scary! I can picture it on a map and can drive there - but could not name it. Sudden difficulty spelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Gait disturbance, Myositis, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: First week of August, I was having a difficult time walking due to pain in the left hip and upper and thigh. I saw an orthopedic surgeon. Xray - not bone / diagnosis muscle inflammation/ I am a thin, active person. No explanation other than Pfizer

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
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)
2021-09-24
Call 1 — Left Voicemail
2021-09-27
Call successful
Participant prefers to complete VAERS report online
2022-03-24
Survey response — 12 months, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: There are too many to name. I have been referred to a neurologist.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-09-22	Successful 2021-09-27	Participant prefers to complete VAERS report online
2022-03-24	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-03

Systemic reaction (other): Left arm numb

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Numb left arm , feeling of heat behind the neck

2021-03-06

Systemic reaction (other): A bit like morning sickness

Release 6 — day 0, dose 2

2021-03-24

Systemic reaction (other): Odd / head / focus

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Teeth hurt, ear hurts / Feels like I have been in a wreck. Dizzy. Leg and arm cramps.

2021-03-26

Systemic reaction (other): Arm pits hurt / feel odd / leg cramps

2021-03-27

Systemic reaction (other): Sleepless night / thumping in the stomach

2021-03-28

Systemic reaction (other): Sore arm pits / sinus headaches and drainage pocket under the right eye

2021-03-30

Systemic reaction (other): Off and on headaches/ sore arm pits / tired but not able to sleep all night

Release 6 — day 7, dose 2

2021-03-31

Systemic reaction (other): Sore arm pits (glands) / bacterial infection in both eyes (first time ever)

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Muscle aches deep in the bone - especially the left arm near the injection site / fatigue / brain fog (not typical of me)

Release 8 — day 42, dose 2

2021-05-05

Symptoms: I am a teacher with an advanced degree. I have experienced foggy brain episodes. Ie - recalling the name of the state where my son lives. Scary! I can picture it on a map and can drive there - but could not name it. Sudden difficulty spelling

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: First week of August, I was having a difficult time walking due to pain in the left hip and upper and thigh. I saw an orthopedic surgeon. Xray - not bone / diagnosis muscle inflammation/ I am a thin, active person. No explanation other than Pfizer

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: There are too many to name. I have been referred to a neurologist.

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
SD	Adverse reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Myositis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye infection bacterial	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Frontal sinus operation	○	✓	○
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Morning sickness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Periorbital swelling	✓	·	✓
SRO	Sinus headache	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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