YAS-19708-87506

4 vaccinations 17 coded responses 43 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 460 / IN
Registered: 2021-03-11

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
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
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not sure if it is fibromyalgia pain. It wasn't like this before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 14, dose 1
MedDRA: Back pain, Gait disturbance, Headache, Nausea, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe headache, burning pain, nausea, back pain, trouble walking, tiredness. Seems like I'm sleepy alot. No fever. Just cold mostly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe burning pain of of legs and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Burning sensation, Gait disturbance, Skin burning sensation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My skin burns at my legs and feet. I sometimes have pain behind my left knee. I also have trouble walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chest discomfort, Epistaxis, Gait disturbance, Hypertension, Sluggishness, Somnolence — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blood Pressure high and nose bleeds Also tightness in my chest. . Still weak and hard to walk. Hard to stay awake. Very sluggish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Medical counselling, Pain, Pain in extremity — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Burning pain in legs, pain behind left knee, elevated blood pressure · Healthcare visit (other): Called doctor offices.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Chest discomfort, Dyspnoea, Gait disturbance, Hypertension — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Can't hardly walk, chest tightness, burning pain in legs and behind left knee. Blood pressure high. Short of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Gait disturbance, Pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still very tired and having trouble walking. Burning pain continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Fatigue, Pain in extremity, Somnolence — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have problem waking and pain in lower extremities. Still have have problem with fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More body aches in legs and back. · Healthcare visit (other): In person doctor visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-11
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-03
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-09
Survey response — day 28, dose 3
MedDRA: Burning sensation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Burning sensation all over.

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

Adult check-in
2021-10-24
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Pain at each temple.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-03-14
Survey response — 6 months, dose 3
MedDRA: Chest discomfort, Chills, Cough, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had chills, coughing, nausea for several days, fever for 3 days, and chest tightness. My pulse ox was in normal range.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Call 1 — Left Voicemail
2022-05-23
Dose 4 — Pfizer-BioNTech
2022-05-23
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-25
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Burning pain in both legs.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ribs hurt.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-30
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 21, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Survey response — day 35, dose 4
MedDRA: Chills — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sudden chills.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-09-11	Pfizer-BioNTech	Flu
4	2022-05-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-05	Unsuccessful
2021-04-29	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Not sure if it is fibromyalgia pain. It wasn't like this before.

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Severe headache, burning pain, nausea, back pain, trouble walking, tiredness. Seems like I'm sleepy alot. No fever. Just cold mostly.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Severe burning pain of of legs and feet.

2021-04-03

Systemic reaction (other): My skin burns at my legs and feet. I sometimes have pain behind my left knee. I also have trouble walking.

2021-04-04

Systemic reaction (other): Blood Pressure high and nose bleeds Also tightness in my chest. . Still weak and hard to walk. Hard to stay awake. Very sluggish.

2021-04-05

Systemic reaction (other): Burning pain in legs, pain behind left knee, elevated blood pressure

Healthcare visit (other): Called doctor offices.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Can't hardly walk, chest tightness, burning pain in legs and behind left knee. Blood pressure high. Short of breath.

2021-04-07

Systemic reaction (other): Still very tired and having trouble walking. Burning pain continues.

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Still have problem waking and pain in lower extremities. Still have have problem with fatigue.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: More body aches in legs and back.

Healthcare visit (other): In person doctor visit.

Release 10 — day 28, dose 3

2021-10-09

Symptoms: Burning sensation all over.

Release 10 — day 42, dose 3

2021-10-24

Symptoms: Pain at each temple.

Release 11 — 6 months, dose 3

2022-03-14

Symptoms: I had chills, coughing, nausea for several days, fever for 3 days, and chest tightness. My pulse ox was in normal range.

Release 11 — days 1–6 daily, dose 4

2022-05-25

Systemic reaction (other): Burning pain in both legs.

2022-05-26

Systemic reaction (other): Ribs hurt.

Release 12 — day 21, dose 4

2022-06-14

Symptoms: Headaches, tiredness

Release 12 — day 35, dose 4

2022-06-29

Symptoms: Sudden chills.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Musculoskeletal chest pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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