Y9A-97684-91923

3 vaccinations 19 coded responses 29 check-ins 19 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 030 / NH
Registered: 2021-03-18

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site reaction, Muscle spasms, Muscular weakness, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I didn't notice this box before, but I've had muscle spasms from the injection site (LA) down into my forearm along with weakness and pain. Today is a throb/ache 7/10. Muscle spasms have been less noticeable today. Joint pain is noticeable from last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Loss of personal independence in daily activities, Muscle spasms, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: muscle spasms are almost gone, pain down through forearm are noticeable but not impeding activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: woke up with numbness/tingling in digits of left hand that subsided ~6 hrs later; pain in elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Hot flush, Restless legs syndrome — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: had hot flash this morning; felt edgy; also have been experiencing restless legs in the evening - very out of character

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Survey response — day 0, dose 2
MedDRA: Balance disorder, Dizziness, Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches

Free text: Sweaty; a little unsteady; lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Flushing, Hot flush, Hyperhidrosis, Movement disorder, Musculoskeletal stiffness, Pain, Poor quality sleep — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Slept very poorly last night, approximately 3 hours at max. Current symptoms began yesterday evening around 17:00. Intermittent indigestion; significant sweating from hot flashes; face and ears are flushed. Unable to lift LA due to pain and stiffness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dyspepsia, Flushing, Hyperhidrosis, Insomnia, Muscle spasms, Sleep disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Indigestion; Suppressed appetite; Difficulty sleeping due to muscle spasms in calves and feet (felt as though I was constantly stretching my legs and feet); Sweating and face flushed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Disturbance in attention, Duodenogastric reflux, Dyspepsia, Flushing, Heavy menstrual bleeding, Hot flush, Joint stiffness, Musculoskeletal stiffness, Restless legs syndrome — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Indigestion that brought up a little bile; menstrual cycle began yesterday, and today had a significantly heavier flow than what is normal for me. Legs felt restless throughout the day. Muscles and joints continue to feel stiff with weakness doing basic ADLs. Still experiencing intermittent hot flashes and flushing of the face. Some symptoms made it difficult to concentrate while working from home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Heavy menstrual bleeding, Hot flush, Hyperhidrosis, Menstrual disorder, Muscular weakness, Myalgia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very heavy menstrual flow of thick consistency and dark color; experienced hot flashes and sweating but less frequently; muscles around left shoulder and back are very tender and experience weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Flushing, Hot flush, Respiratory tract congestion, Throat clearing — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Continuing hot flashes and face flushing; congestion causing cough; dry mouth, frequent throat-clearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 2
MedDRA: Fatigue, Flushing, Heavy menstrual bleeding, Insomnia, Intermenstrual bleeding, Oligomenorrhoea, Restless legs syndrome — Feeling: Poor · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Flushing; absolutely exhausted due to diminished amounts of sleep; restless legs at night; menstrual period is still present, but not as heavy. Lots of spotting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Fatigue, Hypersomnia, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I feel like I have the flu. Extremely fatigued, like I cannot sleep enough during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 28, dose 2
MedDRA: Fatigue, Lethargy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Intermittent periods of exhaustion not typical for me - overall sense of lethargy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 35, dose 2
MedDRA: Arthralgia, Disturbance in attention, Lethargy, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely lethargic, difficult to maintain focus, increasing pain in joints and muscles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Amenorrhoea, Cognitive disorder, Executive dysfunction — Feeling: Fair · Be unable to do your normal daily activities

Free text: No menstrual cycle this month; cognitive/executive functioning issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Abnormal menstrual clots, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular periods with severe clotting.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-15
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Heavy menstrual bleeding, Menstrual clots — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very heavy and long menstrual periods, heavy clotting.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — day 28, dose 3
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Oligomenorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very heavy menstrual cycles with clotting; long duration.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-18
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Post-covid bronchitis.

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-09-15	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-03-18	Successful 2022-03-22	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): I didn't notice this box before, but I've had muscle spasms from the injection site (LA) down into my forearm along with weakness and pain. Today is a throb/ache 7/10. Muscle spasms have been less noticeable today. Joint pain is noticeable from last night.

2021-03-21

Systemic reaction (other): muscle spasms are almost gone, pain down through forearm are noticeable but not impeding activity.

2021-03-23

Systemic reaction (other): woke up with numbness/tingling in digits of left hand that subsided ~6 hrs later; pain in elbow

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): had hot flash this morning; felt edgy; also have been experiencing restless legs in the evening - very out of character

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Sweaty; a little unsteady; lightheaded

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Slept very poorly last night, approximately 3 hours at max. Current symptoms began yesterday evening around 17:00. Intermittent indigestion; significant sweating from hot flashes; face and ears are flushed. Unable to lift LA due to pain and stiffness.

2021-04-18

Systemic reaction (other): Indigestion; Suppressed appetite; Difficulty sleeping due to muscle spasms in calves and feet (felt as though I was constantly stretching my legs and feet); Sweating and face flushed

2021-04-19

Systemic reaction (other): Indigestion that brought up a little bile; menstrual cycle began yesterday, and today had a significantly heavier flow than what is normal for me. Legs felt restless throughout the day. Muscles and joints continue to feel stiff with weakness doing basic ADLs. Still experiencing intermittent hot flashes and flushing of the face. Some symptoms made it difficult to concentrate while working from home.

2021-04-20

Systemic reaction (other): Very heavy menstrual flow of thick consistency and dark color; experienced hot flashes and sweating but less frequently; muscles around left shoulder and back are very tender and experience weakness

2021-04-21

Systemic reaction (other): Continuing hot flashes and face flushing; congestion causing cough; dry mouth, frequent throat-clearing

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Flushing; absolutely exhausted due to diminished amounts of sleep; restless legs at night; menstrual period is still present, but not as heavy. Lots of spotting.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: I feel like I have the flu. Extremely fatigued, like I cannot sleep enough during the day.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Intermittent periods of exhaustion not typical for me - overall sense of lethargy.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Extremely lethargic, difficult to maintain focus, increasing pain in joints and muscles.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: No menstrual cycle this month; cognitive/executive functioning issues.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Irregular periods with severe clotting.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Very heavy and long menstrual periods, heavy clotting.

Release 10 — day 28, dose 3

2021-10-16

Symptoms: Very heavy menstrual cycles with clotting; long duration.

Release 11 — 6 months, dose 3

2022-03-18

Symptoms: Post-covid bronchitis.

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	Abnormal menstrual clots	✓	·	✓
SD	Amenorrhoea	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Cognitive disorder	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Executive dysfunction	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypersomnia	✓	✓	○
SD	Influenza like illness	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Menstrual clots	·	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Oligomenorrhoea	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Duodenogastric reflux	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Menstrual disorder	·	·	✓
SRO	Movement disorder	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oligomenorrhoea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Throat clearing	✓	✓	✓

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