3SB-14519-65889

2 vaccinations 19 coded responses 25 check-ins 19 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 986 / WA
Registered: 2021-08-21

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-20
Dose 1 — Pfizer-BioNTech
2021-08-21
Registered in v-safe
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Heart rate increased, Inflammation, Muscle spasms, Pain of skin, Pruritus — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain and inflammation on top of scalp - hurts to touch. Itching under fingernails, palms, tops of feet. Muscle cramps, feelsx line muscles twisting. Slight chest pains and occasional rapid heartbeat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Muscle spasms, Pain of skin, Pre-existing disease, Rash, Throat tightness, Tremor — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, 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

Free text: Body shaking, top of scalp hurts to the touch (like a sunburn), muscle cramps, occasional rapid heartbeat, throat feels a bit constricted and rash on chest but thise 2 could be due to my autoimmune issues.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pain of skin, Pruritus, Throat tightness, Urticaria — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, 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

Free text: Hives, body itched, top of scalp hurt, slight throat constriction,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Heart rate increased, Muscle spasms, Pruritus, Urticaria — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, 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

Free text: Hives, itching all over body, rapid heartbeat, slight chest pain, muscle cramps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Migraine, Pain of skin — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Top of scalp hurts, migraine, rapid heartbeat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Erythema, Inflammation, Limb mass, Migraine, Pain of skin, Urinary bladder rupture, Urticaria — Feeling: Poor · Site: Pain · Headache, Nausea, 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 · Telehealth, virtual health, or email health consultation

Free text: Extreme Migraine, extreme pain from scalp inflammation, hives, wart-like lumps on bottom of left foot, bruising on legs, red broken blood vessel spots on limbs.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — days 1–6 daily, dose 1
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)
2021-08-27
Survey response — day 7, dose 1
MedDRA: Fear, Headache, Immunisation reaction, Mass, Migraine, Pain of skin — Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Top of scalp mildly hurts, Day 4 of the worst migraine I've ever had but it's almost gone - yesterday's head and scalp pain scared me, still have weird lumps on left foot but they're almost gone - Dr thinks it's an allergic reaction to vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-21
Dose 2 — Pfizer-BioNTech
2021-09-21
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lingering dizziness, initially occurred 15 minutes after injection

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching, Tremor — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Body Shaking, muscles twisting

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Heart rate increased, Pain of skin, Vein rupture — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid heartbeat, chest pains, blood rushing through vein in left temple, top of scalp hurt to the touch.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Pain of skin — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activities

Free text: Rapid heartbeat, top of scalp hurts to the touch,

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Migraine, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Top of scalp hurts to the touch, migraine, rapid heartbeat

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation, Pain of skin, Tenderness — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Top of scalp hurts to the touch - head is inflamed from the inside out.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Pain of skin — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Top of scalp hurts to the touch, migraine

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Survey response — day 7, dose 2
MedDRA: Chest pain, Heart rate increased, Muscle spasms, Pain of skin — Feeling: Fair · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Muscle spams, chest pains, rapid heartbeat, top of scalp hurts to the touch

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — day 21, dose 2
MedDRA: Chest pain, Diarrhoea, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat yesterday and today. Diarrhea. Chest pains.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — day 28, dose 2
MedDRA: Chills, Cyanosis, Inflammation, Muscle spasms, Muscle twitching, Oropharyngeal pain, Oxygen saturation decreased, Pain of skin, Parosmia, Pyrexia, Taste disorder, Throat tightness, Tremor, Unevaluable event — 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

Free text: Symptoms: Muscles twisting, body shaking, fever, sore throat, left side of throat closed up, scalp so inflamed it's unbearable to the touch, blue toes, oxygen levels dipping into the 80's a few times and 60's once, chills, altered sense of smell & taste,cramps · Healthcare visit (other): I may need hospitalization

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 28, 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 · 1 call case(s)
2021-10-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-26
Survey response — day 35, dose 2
MedDRA: Heart rate increased, Pain of skin, Skin swelling, Vascular headache — 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

Free text: Scalp hurts (extremely inflamed), rapid heartbeat, blood rushing trough veins in left side of head

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 35, 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 · 1 call case(s)
2021-10-27
Call successful
Completed over the phone
2021-12-23
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2022-03-22
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-09-28
Survey response — 12 months, dose 2
MedDRA: COVID-19, Mobility decreased, Pre-existing disease, Telemedicine — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I contracted Covid again. I still haven't regained my mobility from originally getting Covid in 2020. · Healthcare visit (other): DOH Telehealth rejected me, had to do urgent care Zoom with Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-29
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-20	Pfizer-BioNTech	No
2	2021-09-21	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-21

Systemic reaction (other): Pain and inflammation on top of scalp - hurts to touch. Itching under fingernails, palms, tops of feet. Muscle cramps, feelsx line muscles twisting. Slight chest pains and occasional rapid heartbeat

2021-08-22

Systemic reaction (other): Body shaking, top of scalp hurts to the touch (like a sunburn), muscle cramps, occasional rapid heartbeat, throat feels a bit constricted and rash on chest but thise 2 could be due to my autoimmune issues.

2021-08-23

Systemic reaction (other): Hives, body itched, top of scalp hurt, slight throat constriction,

2021-08-24

Systemic reaction (other): Hives, itching all over body, rapid heartbeat, slight chest pain, muscle cramps

2021-08-25

Systemic reaction (other): Top of scalp hurts, migraine, rapid heartbeat

2021-08-26

Systemic reaction (other): Extreme Migraine, extreme pain from scalp inflammation, hives, wart-like lumps on bottom of left foot, bruising on legs, red broken blood vessel spots on limbs.

Release 9 — day 7, dose 1

2021-08-27

Systemic reaction (other): Top of scalp mildly hurts, Day 4 of the worst migraine I've ever had but it's almost gone - yesterday's head and scalp pain scared me, still have weird lumps on left foot but they're almost gone - Dr thinks it's an allergic reaction to vaccine

Release 9 — day 0, dose 2

2021-09-21

Systemic reaction (other): Lingering dizziness, initially occurred 15 minutes after injection

Release 9 — days 1–6 daily, dose 2

2021-09-22

Systemic reaction (other): Body Shaking, muscles twisting

2021-09-23

Systemic reaction (other): Rapid heartbeat, chest pains, blood rushing through vein in left temple, top of scalp hurt to the touch.

2021-09-24

Systemic reaction (other): Rapid heartbeat, top of scalp hurts to the touch,

2021-09-25

Systemic reaction (other): Top of scalp hurts to the touch, migraine, rapid heartbeat

2021-09-26

Systemic reaction (other): Top of scalp hurts to the touch - head is inflamed from the inside out.

2021-09-27

Systemic reaction (other): Top of scalp hurts to the touch, migraine

Release 9 — day 7, dose 2

2021-09-28

Systemic reaction (other): Muscle spams, chest pains, rapid heartbeat, top of scalp hurts to the touch

Release 10 — day 21, dose 2

2021-10-12

Symptoms: Sore throat yesterday and today. Diarrhea. Chest pains.

Release 10 — day 28, dose 2

2021-10-19

Symptoms: Muscles twisting, body shaking, fever, sore throat, left side of throat closed up, scalp so inflamed it's unbearable to the touch, blue toes, oxygen levels dipping into the 80's a few times and 60's once, chills, altered sense of smell & taste,cramps cut off by CDC

Healthcare visit (other): I may need hospitalization

Release 10 — day 35, dose 2

2021-10-26

Symptoms: Scalp hurts (extremely inflamed), rapid heartbeat, blood rushing trough veins in left side of head

Release 12 — 12 months, dose 2

2022-09-28

Symptoms: I contracted Covid again. I still haven't regained my mobility from originally getting Covid in 2020.

Healthcare visit (other): DOH Telehealth rejected me, had to do urgent care Zoom with Dr office

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	Telemedicine	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Cyanosis	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Inflammation	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain of skin	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Skin swelling	·	·	✓
SD	Taste disorder	·	·	✓
SD	Throat tightness	·	·	✓
SD	Tremor	·	·	✓
SD	Vascular headache	·	·	✓
SRO	Chest pain	✓	·	✓
SRO	Contusion	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Erythema	✓	·	✓
SRO	Fear	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Immunisation reaction	✓	·	✓
SRO	Inflammation	✓	·	✓
SRO	Limb mass	✓	·	✓
SRO	Mass	✓	·	✓
SRO	Migraine	✓	·	✓
SRO	Muscle spasms	✓	·	✓
SRO	Muscle twitching	·	·	✓
SRO	Pain of skin	✓	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Pruritus	✓	·	✓
SRO	Rash	✓	·	✓
SRO	Tenderness	·	·	✓
SRO	Throat tightness	✓	·	✓
SRO	Tremor	✓	·	✓
SRO	Urinary bladder rupture	✓	·	✓
SRO	Urticaria	✓	·	✓
SRO	Vein rupture	·	·	✓

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