2UN-10613-58239

3 vaccinations 17 coded responses 29 check-ins 17 free-text entries 8 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 070 / NJ
Registered: 2021-03-11

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

2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 1
MedDRA: Asthma, Fatigue, Hypersensitivity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergies & asthma worse than usual. Getting tired faster.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · 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: Tickely feeling inside chest/lungs. Cough. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Slightly lightheaded/dizzy at times. Asthma/allergies seem a bit worse than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: Since shot my average daily heart rate has been elevated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Autonomic nervous system imbalance, Bone tuberculosis, Cardiac disorder, Condition aggravated, Dizziness, Muscular weakness, Palpitations, Postural orthostatic tachycardia syndrome, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have POTS, a type of dysautonomia. It has been a bit worse since last checking in. More dizzy, lightheaded days, more weakness in legs. Some heart racing, heart awareness events.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Allergies seem worse. My POTS symptoms (postural orthodontic tachycardia) a form of dysautonomia seems to be worse or getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-22
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Condition aggravated, Dyspnoea, Fatigue, Heart rate increased, Postural orthostatic tachycardia syndrome, Pre-existing disease, Pregnancy — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Continued Worsening Postural Orthostatic Tachycardia symptoms. Elevated heart rate, at times uncomfortable, tired, feeling out of breath from it. · Healthcare visit (other): Perinatal Eval & Treatment center in Hospital Bc Im preg with these symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, 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)
2021-04-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — 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: Postural Orthostatic Tachycardia continuing to worsen. Resting heart rate now 90bpm. Upon standing heart rate is between 115-150+.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 42, 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)
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Asthenia, Balance disorder, Delivery, Exercise tolerance decreased, Gait disturbance, Muscular weakness, Physiotherapy — Feeling: Good · 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, Hospitalization

Free text: After I had my baby my legs stopped working. Ive started physical therapy to regain strength, endurance, stability, and balance.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
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 · Hospitalization · 1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severely elevated heart rate that started about 14 hours after shot and is still going on. Heart rate hasn't been under 100 and went as high as 167. Heart rate was in 130's+ for hours.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-11-24
Call successful
Does not wish to fill out VAERS report
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations, Panic attack — Feeling: Fair · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Feeling panic attack like symptoms. And heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Fair · Fatigue or tiredness

Free text: Palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness

Free text: A few days ago I think I checked none by accident when in fact I had bad symptoms. I thought I had checked box for other.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — day 42, dose 3
MedDRA: Arthralgia, Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Hips have been feeling more weak and painful than usual. I've also had some days where I'm extremely worn out and lack energy.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Cough, Dizziness, Oropharyngeal pain — 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: Covid. Getting lightheaded sometimes. Cough occasionally. Soar throat am & pm. Brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — 6 months, 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)
2022-05-25
Call successful
Participant prefers to complete VAERS report online
2022-11-24
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Blood glucose abnormal, Muscle tightness, Neck pain, Office visit, Reflux laryngitis — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tightness/pain in neckcaused by silent reflux. Pain in joints-hips, knees, ankles. Blood sugar issues. · Healthcare visit (other): Dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No

Call center

8 call center cases

6 successful · 2 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Allergies & asthma worse than usual. Getting tired faster.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Tickely feeling inside chest/lungs. Cough. Brain fog.

2021-03-29

Systemic reaction (other): Slightly lightheaded/dizzy at times. Asthma/allergies seem a bit worse than usual.

2021-03-30

Systemic reaction (other): Since shot my average daily heart rate has been elevated.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: I have POTS, a type of dysautonomia. It has been a bit worse since last checking in. More dizzy, lightheaded days, more weakness in legs. Some heart racing, heart awareness events.

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Allergies seem worse. My POTS symptoms (postural orthodontic tachycardia) a form of dysautonomia seems to be worse or getting worse.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Continued Worsening Postural Orthostatic Tachycardia symptoms. Elevated heart rate, at times uncomfortable, tired, feeling out of breath from it.

Healthcare visit (other): Perinatal Eval & Treatment center in Hospital Bc Im preg with these symptoms

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Postural Orthostatic Tachycardia continuing to worsen. Resting heart rate now 90bpm. Upon standing heart rate is between 115-150+.

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: After I had my baby my legs stopped working. Ive started physical therapy to regain strength, endurance, stability, and balance.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Severely elevated heart rate that started about 14 hours after shot and is still going on. Heart rate hasn't been under 100 and went as high as 167. Heart rate was in 130's+ for hours.

2021-11-25

Systemic reaction (other): Feeling panic attack like symptoms. And heart palpitations

2021-11-28

Systemic reaction (other): Palpitations

Release 10 — day 7, dose 3

2021-11-29

Systemic reaction (other): A few days ago I think I checked none by accident when in fact I had bad symptoms. I thought I had checked box for other.

Release 10 — day 28, dose 3

2021-12-20

Symptoms: Very tired.

Release 10 — day 42, dose 3

2022-01-05

Symptoms: Hips have been feeling more weak and painful than usual. I've also had some days where I'm extremely worn out and lack energy.

Release 11 — 6 months, dose 3

2022-05-23

Symptoms: Covid. Getting lightheaded sometimes. Cough occasionally. Soar throat am & pm. Brain fog.

Release 12 — 12 months, dose 3

2022-11-24

Symptoms: Tightness/pain in neckcaused by silent reflux. Pain in joints-hips, knees, ankles. Blood sugar issues.

Healthcare visit (other): Dr 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	Pregnancy	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Autonomic nervous system imbalance	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Blood glucose abnormal	·	·	✓
SD	Bone tuberculosis	○	✓	○
SD	Brain fog	·	·	✓
SD	Cardiac disorder	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Muscle tightness	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Postural orthostatic tachycardia syndrome	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Reflux laryngitis	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Panic attack	·	·	✓

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