38G-13734-05868

3 vaccinations 21 coded responses 32 check-ins 21 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 600 / IL
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral, Upper-airway cough syndrome — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Tingling lips, tongue, post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia oral, Upper-airway cough syndrome — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Mild lip/tongue tingling and post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort — Feeling: Good · Site: Pain · Abdominal pain

Free text: Food is digesting slower. Discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Pharyngeal swelling — Feeling: Good

Free text: Throat is better. Still a little swollen for digestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Oesophagitis, Pharyngeal swelling — Feeling: Good · Fatigue or tiredness

Free text: Mild swelling in throat/esphogus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Post nasal drip / allergy type

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Good · Be unable to do your normal daily activities

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Dizziness, Pre-existing disease — Feeling: Good

Free text: Allergies, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 1
MedDRA: Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus congestion for 5 days so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Dyspepsia — Feeling: Fair · Site: Swelling, Itching · Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Slow digestion / painful after eating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: Slow digestion/ stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Gastrooesophageal reflux disease — Feeling: Fair · Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Feeling fullness, acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Abdominal distension — Feeling: Good · Fatigue or tiredness

Free text: Feeling of fullness/ stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pain. Slow digestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Dyspepsia — Feeling: Good · Be unable to do your normal daily activities

Free text: Mainly still having issues with digestion. Feeling of fullness and sometimes stomach pain after eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Angioedema, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: After eating, I feel like my stomach is so full and painful. Like intestinal angioedema has come back after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 42, dose 2
MedDRA: Dry eye, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dry eyes, sinus headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-29
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Pre-existing disease — 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: 3 days After the booster, my Gastroparesis symptoms came back and lasted for at least 16 days so far.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — day 14, 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)
2021-12-30
Call 1 — Left Voicemail
2022-01-01
Survey response — day 21, dose 3
MedDRA: Abdominal discomfort, Impaired gastric emptying — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gastroparesis has subsided but still upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 28, dose 3
MedDRA: Abdominal distension, Impaired gastric emptying, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Gastroparesis continues/ feelings of fullness. · Healthcare visit (other): Pharmacist

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
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

1 call case(s)
2022-01-11
Call 1 — Left Voicemail
2022-01-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-16
Call successful
Participant prefers to complete VAERS report online
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-13
Survey response — 12 months, dose 3
MedDRA: Oropharyngeal pain, Pyrexia, Vomiting — 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 · Telehealth, virtual health, or email health consultation

Free text: Fever, vomiting, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — 12 months, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-12-11	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Tingling lips, tongue, post nasal drip

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Mild lip/tongue tingling and post nasal drip

2021-04-03

Systemic reaction (other): Food is digesting slower. Discomfort

2021-04-04

Systemic reaction (other): Throat is better. Still a little swollen for digestion

2021-04-05

Systemic reaction (other): Mild swelling in throat/esphogus

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Post nasal drip / allergy type

2021-04-07

Systemic reaction (other): High blood pressure

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Allergies, dizziness

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Sinus congestion for 5 days so far

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Slow digestion / painful after eating

2021-05-04

Systemic reaction (other): Slow digestion/ stomach pain

2021-05-05

Systemic reaction (other): Feeling fullness, acid reflux

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Feeling of fullness/ stomach

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Stomach pain. Slow digestion.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Mainly still having issues with digestion. Feeling of fullness and sometimes stomach pain after eating.

Release 8 — day 35, dose 2

2021-06-03

Symptoms: After eating, I feel like my stomach is so full and painful. Like intestinal angioedema has come back after the vaccine.

Release 9 — day 42, dose 2

2021-06-10

Symptoms: Dry eyes, sinus headaches

Release 10 — day 14, dose 3

2021-12-29

Symptoms: 3 days After the booster, my Gastroparesis symptoms came back and lasted for at least 16 days so far.

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Gastroparesis has subsided but still upset stomach

Release 10 — day 28, dose 3

2022-01-08

Symptoms: Gastroparesis continues/ feelings of fullness.

Healthcare visit (other): Pharmacist

Release 12 — 12 months, dose 3

2022-12-13

Symptoms: Fever, vomiting, sore throat.

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	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Angioedema	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Dry eye	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Impaired gastric emptying	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Oesophagitis	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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