ZFR-10378-25480

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

Sex: Female
Age at first dose: 46-50
ZIP prefix: 305 / GA
Registered: 2021-02-04

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

2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-04
Registered in v-safe
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Nausea, Paraesthesia, Self-medication, Tremor — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My left hand started to shake, shoulder and calf. I videoed it. It was almost seizure like and only lasted about 15 secs. I hade 6 total episodes of this shaking (left side), directly afterwards I have tingling sensations throughout my left side bottom left butt cheek down my left leg up behind my left breast implant and behind my left shoulder blade up into my left jaw. Laid down, took Tylenol - chills with no fever (those symptoms subsided) now with nausea, headache, very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Partial seizures, Tremor — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: No more shaking on left - had 6 episodes. After reading about focal seizures it seems like that happened. Reported to my Neurosurgeon whose office said they are getting these reports after vaccines. I will still get 2nd vaccine but I hope CDC takes this side effect seriously. Still better than getting COVID. Thank you! For all the work you all do. (b)(6). I have a short video

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort, Nasopharyngitis — Feeling: Fair

Free text: I think I have a cold / GO upset started friday feb 19th

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Neck pain, Physiotherapy, Pre-existing disease, Rotator cuff syndrome, Spinal fusion surgery, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: DDD & scoliosis had been giving me great pains in cervical. I went through 1 year of injections and ablations. On April 30th I had posterior approach cervical to thoracic fusion C3-T1. Now with left shoulder impingement cont physical therapy. · Healthcare visit (other): For surgery

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
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)
2021-08-31
Call 1 — Left Voicemail
2022-02-24
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Bundle branch block right, Office visit, Tremor — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My Normal EKG turned onto Right Bundle Branch Block. With LVH. Y'all should know what that means. My joints hurt. I have episodic shaking in left arm. I will NEVER get the vax again. · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-25	Unsuccessful
2022-02-24	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): My left hand started to shake, shoulder and calf. I videoed it. It was almost seizure like and only lasted about 15 secs. I hade 6 total episodes of this shaking (left side), directly afterwards I have tingling sensations throughout my left side bottom left butt cheek down my left leg up behind my left breast implant and behind my left shoulder blade up into my left jaw. Laid down, took Tylenol - chills with no fever (those symptoms subsided) now with nausea, headache, very tired.

2021-02-05

Systemic reaction (other): No more shaking on left - had 6 episodes. After reading about focal seizures it seems like that happened. Reported to my Neurosurgeon whose office said they are getting these reports after vaccines. I will still get 2nd vaccine but I hope CDC takes this side effect seriously. Still better than getting COVID. Thank you! For all the work you all do. (b)(6). I have a short video

redacted (b)(6)

Release 4 — day 21, dose 1

2021-02-23

Symptoms: I think I have a cold / GO upset started friday feb 19th

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: DDD & scoliosis had been giving me great pains in cervical. I went through 1 year of injections and ablations. On April 30th I had posterior approach cervical to thoracic fusion C3-T1. Now with left shoulder impingement cont physical therapy.

Healthcare visit (other): For surgery

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: My Normal EKG turned onto Right Bundle Branch Block. With LVH. Y'all should know what that means. My joints hurt. I have episodic shaking in left arm. I will NEVER get the vax again.

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	Office visit	·	·	✓
HCVO	Surgery	✓	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Bundle branch block right	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Physiotherapy	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rotator cuff syndrome	✓	·	✓
SD	Spinal fusion surgery	✓	·	✓
SD	Tremor	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Partial seizures	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tremor	✓	✓	✓

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