YPL-42727-79607

2 vaccinations 15 coded responses 21 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 463 / IN
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
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

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Muscular weakness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Leg weaknesses, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Fatigue, Feeling abnormal, Systemic lupus erythematosus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe fatigue and brain fog but I also have Lupus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Feeling abnormal, Neck pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe neck and knee pain. Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · 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: Severe knee pain

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 — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Severe knee and shoulder pain

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: Contusion, Hyperaesthesia, Pain — Feeling: Poor · 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: Severe bruising to calves for no reason. Extremely painful to touch.

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: Contusion, Emergency care, Office visit, Pain in extremity, Unevaluable event — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Severe bilateral leg pain and bruising. Physician sending me to ER for concern of blood clot · Healthcare visit (other): Will be going for doppler

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 — day 7, dose 2
MedDRA: Contusion, Medical counselling, Pain in extremity — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Severe bilateral leg pain with random brusing. My physician is sending me for doppler to rule out blood clots. · Healthcare visit (other): Going for doppler today to rule out blood clots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 14, dose 2
MedDRA: Migraine, Pain in extremity — 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: Severe bilateral leg pain. Non-stop migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Survey response — day 21, dose 2
MedDRA: Thrombosis — 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: Suspected blood clit in lower leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 42, dose 2
MedDRA: Headache, Pain, Pain in extremity, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe bilateral leg pain and body aches. Ongoing headache that varies in intensity. · Healthcare visit (other): Had doppler done to check for blood clots in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
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)
2022-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-05	Unsuccessful
2021-04-06	Unsuccessful
2021-04-13	Unsuccessful
2021-04-20	Unsuccessful
2021-05-11	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Severe brain fog

2021-03-06

Systemic reaction (other): Brain fog

2021-03-07

Systemic reaction (other): Brain fog

2021-03-08

Systemic reaction (other): Leg weaknesses, brain fog

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Severe fatigue and brain fog but I also have Lupus.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Sore throat, short of breath

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Severe neck and knee pain. Brain fog

2021-04-02

Systemic reaction (other): Severe knee pain

2021-04-03

Systemic reaction (other): Severe knee and shoulder pain

2021-04-04

Systemic reaction (other): Severe bruising to calves for no reason. Extremely painful to touch.

2021-04-05

Systemic reaction (other): Severe bilateral leg pain and bruising. Physician sending me to ER for concern of blood clot

Healthcare visit (other): Will be going for doppler

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Severe bilateral leg pain with random brusing. My physician is sending me for doppler to rule out blood clots.

Healthcare visit (other): Going for doppler today to rule out blood clots.

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Severe bilateral leg pain. Non-stop migraine

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Suspected blood clit in lower leg.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Severe bilateral leg pain and body aches. Ongoing headache that varies in intensity.

Healthcare visit (other): Had doppler done to check for blood clots in legs

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	Unevaluable event	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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