YJK-14517-76912

4 vaccinations 12 coded responses 43 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Survey response — day 0, dose 1
MedDRA: Multiple sclerosis — Feeling: Good · Muscle or body aches

Free text: I have MS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Fibromyalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My fibromyalgia is flaring

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Alot more fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Fair

Free text: Diarrhea and stomachache. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Eyes hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 35, dose 2
MedDRA: Hypersomnia, Muscle spasms, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle spasms, and sleeping more. But that could be my MS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Muscle spasms, Tremor — Feeling: Fair

Free text: Spasms, tremors thinking from my ms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Pain, Pre-existing disease, Pyrexia — Feeling: Fair

Free text: My Plegridy shot! I haven't had it for 1.5 months...aches and pains, fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 28, dose 3
MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair

Free text: Multiple Sclerosis flaring up

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — 3 months, dose 3
MedDRA: Productive cough — Feeling: Good

Free text: Can't get rid of productive cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Survey response — 6 months, dose 3
MedDRA: Trigeminal neuralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Trigeminal Neuralgia

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Survey response — 6 months, dose 4
MedDRA: Muscle spasms, Myalgia, Pre-existing disease, Pyrexia, Sinus congestion — Feeling: Good

Free text: Fever, sinuses are mucusy, myscle pain and spasms [I do have MS]

MedDRA releases: 2024-11 · check-in free text available
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-08-27	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-25	Successful 2022-03-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): I have MS

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): My fibromyalgia is flaring

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Alot more fatigue

Release 4 — day 28, dose 1

2021-02-19

Symptoms: Diarrhea and stomachache. Fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Eyes hurt

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Muscle spasms, and sleeping more. But that could be my MS.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Spasms, tremors thinking from my ms

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: My Plegridy shot! I haven't had it for 1.5 months...aches and pains, fever

Release 9 — day 28, dose 3

2021-09-29

Symptoms: Multiple Sclerosis flaring up

Release 10 — 3 months, dose 3

2021-11-26

Symptoms: Can't get rid of productive cough

Release 11 — 6 months, dose 3

2022-02-25

Symptoms: Trigeminal Neuralgia

Release 12 — 6 months, dose 4

2022-10-27

Symptoms: Fever, sinuses are mucusy, myscle pain and spasms [I do have MS]

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	Abdominal pain upper	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Multiple sclerosis	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Sinus congestion	·	·	✓
SD	Tremor	✓	✓	✓
SD	Trigeminal neuralgia	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓

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