43J-44471-96866

2 vaccinations 13 coded responses 16 check-ins 13 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 112 / NY
Registered: 2021-03-07

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-10
Survey response — day 7, dose 1
MedDRA: Dysphagia, Dyspnoea, Unevaluable event — Feeling: Fair · Joint pains, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): have had trouble swallowing/woke unable to breathe last 2 days--may not be vax related · Healthcare visit (other): noting i am getting that care today/not done yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 14, dose 1
MedDRA: Cardiac discomfort, Chills, Dizziness, Dysphagia, Office visit, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some sore throat, sudden chills. Heart pressure. Dizziness mild Earlier in week i reported dysphagia that led to doc appt. has not repeated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I just got the shot so prob worth another check tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Diarrhoea, Fatigue, Loss of personal independence in daily activities, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: I want to report that between this check in and yesterday's i had the following symptoms : body aches, fatigue, fever (to 98.1), diarrhea (liquid, explosive), abdominal pain that lasted several hours, enough to limit my activities. This went unreported because it happened yesterday (3/20) in the evening after the last check in and there is not an opportunity to update the record once submitted. Today has been largely fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Somnolence — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had fatigue and minor sore throat. Fell asleep for 2-3 hours after 4 pm --yesterday! Timing of these makes it hard to report "today" but let's say that was in the last 24 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Dyspnoea, Fatigue — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: basically easily out of breath while walking--not so much fatigue. Chills have been the last couple of days--

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Choking sensation, Gastrooesophageal reflux disease, Oropharyngeal pain, Vaccine positive rechallenge — Feeling: Good

Free text: Slight sore throat on waking. Woke up with choking feeling. Slight acid reflux earlier. This happened first round too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Gastrooesophageal reflux disease, Haematochezia, Office visit, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hsving diarhea, blood in stool reflux other belly issues. Minor sore throat , some fatigue · Healthcare visit (other): Met w GI DOC had tests setvup orher tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 21, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: fatigue (even today) digestive issues · Healthcare visit (other): follow up ith sleep expert, abdominal scan, completion of other labs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 28, dose 2
MedDRA: Cardiac discomfort, Chills, Fatigue, Feeling abnormal, Influenza like illness, Insomnia, Medical counselling, Nasopharyngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Exteme Fatigue, insomnia, chills, brain fog, heartvpressure, toxic lije a cold or flu but temp sub normal. · Healthcare visit (other): I am currently talking to a sleep specialist and GI Added a visit to my old pcp for synthesis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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)
2021-04-23
Survey response — day 35, dose 2
MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just today had a general malaise needed to lie diwn. Ended up dozing off for 2.5 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 42, dose 2
MedDRA: Abdominal pain lower, Abdominal pain upper, Arthralgia, Cardiac disorder, Diarrhoea, Fatigue, Headache, Insomnia, Malaise, Office visit — Feeling: Fair · Be unable to work, 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: lower abdomen pain , diarrhea. Pain lasteda bout 5 days still ongoing. 2nd day of diarrhea.Also sleepless nights, fatigue. Some heart compression, and general malaise. · Healthcare visit (other): pre-existing in office visits with a former PCP /advisor and current pulmonologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
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)
2021-06-10
Call successful
Participant prefers to complete VAERS report online
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Amnesia, Diarrhoea, Fatigue, Insomnia, Pyrexia — 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, Outpatient clinic or urgent care clinic visit

Free text: Exp diarrhea. Fatigue. insomnia very low fever. Memory lapses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): have had trouble swallowing/woke unable to breathe last 2 days--may not be vax related

Healthcare visit (other): noting i am getting that care today/not done yet

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Some sore throat, sudden chills. Heart pressure. Dizziness mild Earlier in week i reported dysphagia that led to doc appt. has not repeated.

Release 6 — day 0, dose 2

2021-03-19

Systemic reaction (other): I just got the shot so prob worth another check tomorrow

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): I want to report that between this check in and yesterday's i had the following symptoms : body aches, fatigue, fever (to 98.1), diarrhea (liquid, explosive), abdominal pain that lasted several hours, enough to limit my activities. This went unreported because it happened yesterday (3/20) in the evening after the last check in and there is not an opportunity to update the record once submitted. Today has been largely fine.

2021-03-23

Systemic reaction (other): I had fatigue and minor sore throat. Fell asleep for 2-3 hours after 4 pm --yesterday! Timing of these makes it hard to report "today" but let's say that was in the last 24 hours.

2021-03-25

Systemic reaction (other): basically easily out of breath while walking--not so much fatigue. Chills have been the last couple of days--

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Slight sore throat on waking. Woke up with choking feeling. Slight acid reflux earlier. This happened first round too

Release 6 — day 14, dose 2

2021-04-02

Symptoms: Hsving diarhea, blood in stool reflux other belly issues. Minor sore throat , some fatigue

Healthcare visit (other): Met w GI DOC had tests setvup orher tests

Release 7 — day 21, dose 2

2021-04-09

Symptoms: fatigue (even today) digestive issues

Healthcare visit (other): follow up ith sleep expert, abdominal scan, completion of other labs

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Exteme Fatigue, insomnia, chills, brain fog, heartvpressure, toxic lije a cold or flu but temp sub normal.

Healthcare visit (other): I am currently talking to a sleep specialist and GI Added a visit to my old pcp for synthesis.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Just today had a general malaise needed to lie diwn. Ended up dozing off for 2.5 hrs

Release 8 — day 42, dose 2

2021-04-30

Symptoms: lower abdomen pain , diarrhea. Pain lasteda bout 5 days still ongoing. 2nd day of diarrhea.Also sleepless nights, fatigue. Some heart compression, and general malaise.

Healthcare visit (other): pre-existing in office visits with a former PCP /advisor and current pulmonologist.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Exp diarrhea. Fatigue. insomnia very low fever. Memory lapses

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cardiac discomfort	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Choking sensation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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