YYY-25045-91553

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 985 / WA
Registered: 2020-12-19

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

2020-12-19
Registered in v-safe
2020-12-19
Dose 1 — Pfizer-BioNTech
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Disclaimer I have been seeing a doctors from several months for joint related pain while I take 300 mg of gabapentin for,. Yesterday I had to run across an acre to get my dog off of the chicken coop before her killed my chickens. Then pounded in 9 metal fence posts, put up 50 feet of fence and a fence gate. Then spent 2 hours cleaning up manure and shoveling because it was a nice day outside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Same as yesterday probably just my normal problems. I did sleep a lot which was great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: My joints hate me and I am unable to get relief from my prescription of gabapentin which normally alleviates the problems I have with fibromyalgia. Naproxen is not working either. Particularly both arms, elbows and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Possible food poisoning or really bad flu.We're all still waiting to hear about getting our 2nd shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-22
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Survey response — 6 months, dose 2
MedDRA: Irritable bowel syndrome — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit

Free text: I now have IBS, I have been sick for months now. Thanks

MedDRA releases: 2024-11 · check-in free text available
2021-07-16
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-21
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-13
Survey response — 12 months, dose 2
MedDRA: Autoimmune disorder, COVID-19, Impaired work ability, Irritable bowel syndrome, Vertigo, Visual impairment — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit

Free text: I now have vertigo, IBS, some unknown autoimmune disorder, visual problems and I am probably going to lose my job because of this vaccine and no one read up on helping. Additionally at some point in time I had Covid but I have no idea when.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-23	priority 2/3
2021-01-02	priority 2/3
2021-01-11	priority 2/3
2021-07-16	Successful 2021-07-21	Reported to VAERS voluntarily prior to GDIT contact
2022-01-13	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Disclaimer I have been seeing a doctors from several months for joint related pain while I take 300 mg of gabapentin for,. Yesterday I had to run across an acre to get my dog off of the chicken coop before her killed my chickens. Then pounded in 9 metal fence posts, put up 50 feet of fence and a fence gate. Then spent 2 hours cleaning up manure and shoveling because it was a nice day outside.

2020-12-24

Systemic reaction (other): Same as yesterday probably just my normal problems. I did sleep a lot which was great

Release 1 — day 14, dose 1

2021-01-02

Symptoms: My joints hate me and I am unable to get relief from my prescription of gabapentin which normally alleviates the problems I have with fibromyalgia. Naproxen is not working either. Particularly both arms, elbows and neck

Release 1 — day 21, dose 1

2021-01-11

Symptoms: Possible food poisoning or really bad flu.We're all still waiting to hear about getting our 2nd shot

Release 9 — 6 months, dose 2

2021-07-16

Symptoms: I now have IBS, I have been sick for months now. Thanks

Release 10 — 12 months, dose 2

2022-01-13

Symptoms: I now have vertigo, IBS, some unknown autoimmune disorder, visual problems and I am probably going to lose my job because of this vaccine and no one read up on helping. Additionally at some point in time I had Covid but I have no idea when.

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	Autoimmune disorder	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Food poisoning	○	○	○
SD	Impaired work ability	·	·	✓
SD	Influenza	○	○	○
SD	Irritable bowel syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Hypersomnia	✓	✓	✓
SRO	No adverse event	○	○	○
SRO	Unevaluable event	✓	✓	✓

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