ZLA-18174-36185

3 vaccinations 16 coded responses 32 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 284 / NC
Registered: 2021-04-17

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Pfizer-BioNTech
2021-04-17
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain

Free text: Dizziness immediately after receiving vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Poor quality sleep, Pre-existing disease, Sleep deficit — Feeling: Fair · Be unable to do your normal daily activities

Free text: Restless leg syndrome symptoms have increased significantly.Sleep quality and duration are poor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-08
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hypogeusia, Hyposmia, Thirst — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Diminished taste and smell. Increased Thirst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Energy increased, Glossodynia, Lymphadenopathy, Psychomotor hyperactivity, Restlessness, Swollen tongue — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches

Free text: Symptoms that were the exact opposite of first shot. Extremely hyper, energized, restless. Can't sit still, always needing to do something. I was on my feet for 8 hours straight. Unable to sit down for more than a minute . Loss of taste and smell similar to symptoms of COVID infection in May 2020 Tongue is swollen and painful. Swollen glands similar to the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 21, dose 2
MedDRA: Irritability — Feeling: Good · Be unable to do your normal daily activities

Free text: Irritableness!- It's not my nature and I dislike it immensely. It began two days after my first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Survey response — day 35, dose 2
MedDRA: Restless legs syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Restless legs muscle movements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Paraesthesia, Sacroiliac joint dysfunction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sacroilia issues. Numbness and tingling in my foot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-23
Call 1 — Left Voicemail
2021-12-14
Dose 3 — Pfizer-BioNTech
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Irritability, Lymphadenopathy, Oropharyngeal pain, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat. Swollen glands. IRRITABILITY!!! Anxiety level skyrockets. Symptoms with all three shots.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Reaction to previous exposure to any vaccine, Sacroiliitis — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: SACROILIA for the second time in my life. First time was after my second COVID vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sacroilia

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Immunisation reaction, Sacroiliitis — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: vaccine induced Sacroilia is ongoing

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — day 7, dose 3
MedDRA: Office visit, Sciatica — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sciatica is getting worse. My 1st time ever experiencing sciatica was after my 2nd vaccine. I'm still paying the bill from the last visit to the specialist for an SI injection, and I can't afford to go again, but I don't regret getting the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — day 28, dose 3
MedDRA: Mania — Feeling: Fair · 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: Mania -

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-12
Call 1 — Left Voicemail
2022-01-18
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Survey response — day 42, dose 3
MedDRA: Mania — Feeling: Fair · 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: Mania

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-02-14
Call 2 — Left Voicemail
2022-03-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-07	Unsuccessful
2022-01-11	Unsuccessful
2022-01-25	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-17

Systemic reaction (other): Dizziness immediately after receiving vaccine

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Swollen glands

Release 8 — day 14, dose 1

2021-05-01

Symptoms: Restless leg syndrome symptoms have increased significantly.Sleep quality and duration are poor.

Release 8 — day 0, dose 2

2021-05-08

Systemic reaction (other): Swollen glands

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Diminished taste and smell. Increased Thirst.

2021-05-10

Systemic reaction (other): Symptoms that were the exact opposite of first shot. Extremely hyper, energized, restless. Can't sit still, always needing to do something. I was on my feet for 8 hours straight. Unable to sit down for more than a minute . Loss of taste and smell similar to symptoms of COVID infection in May 2020 Tongue is swollen and painful. Swollen glands similar to the first shot.

Release 8 — day 21, dose 2

2021-05-29

Symptoms: Irritableness!- It's not my nature and I dislike it immensely. It began two days after my first vaccination.

Release 9 — day 35, dose 2

2021-06-12

Symptoms: Restless legs muscle movements

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: Sacroilia issues. Numbness and tingling in my foot

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Sore throat. Swollen glands. IRRITABILITY!!! Anxiety level skyrockets. Symptoms with all three shots.

2021-12-17

Systemic reaction (other): SACROILIA for the second time in my life. First time was after my second COVID vaccine.

2021-12-18

Systemic reaction (other): Sacroilia

2021-12-20

Systemic reaction (other): vaccine induced Sacroilia is ongoing

Release 10 — day 7, dose 3

2021-12-21

Systemic reaction (other): Sciatica is getting worse. My 1st time ever experiencing sciatica was after my 2nd vaccine. I'm still paying the bill from the last visit to the specialist for an SI injection, and I can't afford to go again, but I don't regret getting the booster. cut off by CDC

Release 10 — day 28, dose 3

2022-01-11

Symptoms: Mania -

Release 11 — day 42, dose 3

2022-01-25

Symptoms: Mania

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	Condition aggravated	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Irritability	✓	✓	✓
SD	Mania	·	·	✓
SD	Paraesthesia	✓	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Restless legs syndrome	✓	✓	✓
SD	Sacroiliac joint dysfunction	✓	·	✓
SD	Sleep deficit	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Anxiety	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Hypogeusia	✓	✓	✓
SRO	Hyposmia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Immunisation reaction	·	·	✓
SRO	Irritability	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Psychomotor hyperactivity	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Restlessness	✓	✓	✓
SRO	Sacroiliitis	·	·	✓
SRO	Sciatica	·	·	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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