YLQ-14753-69100

4 vaccinations 11 coded responses 32 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 958 / CA
Registered: 2021-02-02

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

2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-02
Registered in v-safe
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Fair · Site: Pain

Free text: My jaw has some mild pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — day 7, dose 1
MedDRA: Mobility decreased, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Muscle pain is down the back of my left leg. Hard to walk this morning but improving quite a bit this afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Injection site pain, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I made an error on last checkin, injection site pain only first two days. Pain down the back of my left leg since last Monday. I have a hip replacement on that side. I dont know the cause as I woke up with it Monday morning, a week ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Pain in extremity — Feeling: Good · Site: Pain · 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: Pain down back of left leg for a bit over 2 weeks, doctor suspects sciatica. Improving daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
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)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Sciatica — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Pain from sciatica down the back of the left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain down back of leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain down back of leg, moderate pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Moderate pain down back of leg, slowly improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate pain down the back of my left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate pain down back of left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Asthenia, Nerve compression, Pain in extremity, Walking aid user, Wheelchair user — Feeling: Poor · Be unable to work, 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: Pinched nerve, debilitating left leg pain, now need crutches and wheel chair, pain medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-03
Call 1 — Left Voicemail
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-10-28
Dose 3 — Pfizer-BioNTech
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-07-19
Dose 4 — Pfizer-BioNTech
2022-07-27
Health check-in — day 7, dose 4
Feeling: Poor · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-08-02
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-09
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-16
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-23
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-01-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	No
4	2022-07-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-15	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-02-24	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-26	Successful 2021-08-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): My jaw has some mild pain.

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Muscle pain is down the back of my left leg. Hard to walk this morning but improving quite a bit this afternoon.

Release 4 — day 14, dose 1

2021-02-15

Symptoms: I made an error on last checkin, injection site pain only first two days. Pain down the back of my left leg since last Monday. I have a hip replacement on that side. I dont know the cause as I woke up with it Monday morning, a week ago.

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Pain down back of left leg for a bit over 2 weeks, doctor suspects sciatica. Improving daily.

2021-02-25

Systemic reaction (other): Pain from sciatica down the back of the left leg.

2021-02-26

Systemic reaction (other): Pain down back of leg.

2021-02-27

Systemic reaction (other): Pain down back of leg, moderate pain.

2021-02-28

Systemic reaction (other): Moderate pain down back of leg, slowly improving.

2021-03-01

Systemic reaction (other): Moderate pain down the back of my left leg.

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Moderate pain down back of left leg.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Pinched nerve, debilitating left leg pain, now need crutches and wheel chair, pain medication.

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	Asthenia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nerve compression	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Walking aid user	✓	✓	✓
SD	Wheelchair user	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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