YHJ-19606-72982

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 103 / NY
Registered: 2021-02-15

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

2021-02-12
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Not related to shot. Back spasms due back prob.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Back disorder — Feeling: Good

Free text: Only related to back issues & taking muscle relax.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle fatigue, Somnolence — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: On 3/10, day after vaccine, serious muscle fatigue & groggy. Both arms sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Dizziness, Medical counselling — Feeling: Fair · Site: Redness · 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): Lightheaded & Intestinal discomfort · Healthcare visit (other): Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
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)
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Muscle or body aches

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Atrial flutter — Feeling: Good · Site: Redness · Joint pains

Free text: Some sense of internal fluttering

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Survey response — day 14, dose 2
MedDRA: Dizziness, Office visit, Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sometimes occasional lightheadedness. And a few times an internal flutter sensation. Everything is ok with my blood pressure. After about 7 days, had an itchy, rash under left arm for 2 days. · Healthcare visit (other): 2 phone calls with Drs. office. Have scheduled appt. with primary Dr. on 4/1/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Medical counselling, Muscle spasms — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle spasms lower back into left leg. · Healthcare visit (other): Telephone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Muscle spasms, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Back & leg spasms, related to degenerative disc disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Muscle tightness, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent Muscle tightness & pain in shoulders & legs. · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Could Not Reach Participant
2021-09-13
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Unsuccessful
2021-03-23	Unsuccessful
2021-04-22	Unsuccessful
2021-09-08	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Not related to shot. Back spasms due back prob.

2021-02-16

Systemic reaction (other): Only related to back issues & taking muscle relax.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): On 3/10, day after vaccine, serious muscle fatigue & groggy. Both arms sore.

2021-03-12

Systemic reaction (other): Lightheaded & Intestinal discomfort

Healthcare visit (other): Phone call

2021-03-15

Systemic reaction (other): Some sense of internal fluttering

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Sometimes occasional lightheadedness. And a few times an internal flutter sensation. Everything is ok with my blood pressure. After about 7 days, had an itchy, rash under left arm for 2 days.

Healthcare visit (other): 2 phone calls with Drs. office. Have scheduled appt. with primary Dr. on 4/1/21

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Muscle spasms lower back into left leg.

Healthcare visit (other): Telephone

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Back & leg spasms, related to degenerative disc disease.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Intermittent Muscle tightness & pain in shoulders & legs.

Healthcare visit (other): Doctor visit

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	Arthralgia	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle tightness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Atrial flutter	✓	✓	✓
SRO	Back disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscle fatigue	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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