4AU-21591-00395

3 vaccinations 19 coded responses 27 check-ins 19 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 190 / PA
Registered: 2021-01-29

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

2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-29
Registered in v-safe
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Poor · Site: Redness · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Fair

Free text: DiarrheaMore tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-22
Survey response — day 28, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Severe diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Poor · 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: Severe exhaustion for the past 4 weeks. I am sleeping soundly for 10 to 12 hours and wake up feing as though I never slept.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
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)
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Muscular weakness, Paraesthesia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Exhaustion, muscle weakness, lightheaded, tingling · Healthcare visit (other): Under medical care for 5 months

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
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

1 call case(s)
2021-07-27
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-27
Call successful
Reported to VAERS during previous contact from GDIT
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Rapid reasting pulse 110-115

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea

Free text: Usual longhaulers symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: My usual stmptoms from past 7 months

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea exertional — Feeling: Fair · Fatigue or tiredness

Free text: SOB with mild exertion

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches

Free text: Usual longhaulers symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 7, dose 3
MedDRA: Chest pain, Dyspnoea — Feeling: Fair

Free text: Chest pressure upon exertion along with mild SOB

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 14, dose 3
MedDRA: Oedema peripheral, Pruritus — Feeling: Fair

Free text: Ankle edema and body it hing are worse

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 21, dose 3
MedDRA: Pruritus — Feeling: Fair

Free text: Itching

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 28, dose 3
MedDRA: Dyspnoea exertional — Feeling: Fair

Free text: Easily SOB with mild exertion

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 35, dose 3
MedDRA: Dysgeusia, Dyspnoea — Feeling: Fair

Free text: SOB is slightly more frequent and fiod is tadting metallic.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — day 42, dose 3
MedDRA: Dizziness, Dyspnoea exertional — Feeling: Fair

Free text: Continued SOB on mild exertion. Now there is occassional lightheadedness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Heart rate increased, Palpitations — Feeling: Fair · 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: I have a cardiac workup schedilwd nect month due to sob, heart palpitations and rapid pulse on mild exertion

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-04
Call successful
Does not wish to fill out VAERS report
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Blood glucose abnormal, COVID-19, Dyspnoea, Heart rate increased, Laboratory test abnormal, Lipids abnormal, Office visit — Feeling: Fair · 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: Rapid heart rate, SOB -now under care of cardiologist. Also abnormal labs, lipids and glucose, which have always been normal before Covid. · Healthcare visit (other): Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call successful
Does not wish to fill out VAERS report
2022-10-03
Survey response — 12 months, dose 3
MedDRA: Blood potassium decreased, Cardiovascular symptom, Emergency care, Hypokalaemia, Nausea — 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 · Emergency room or emergency department visit

Free text: I received the second booster on May 19th. I ended up in the ER . I had nausea without vomiting. I was having cardiac symptoms and had a potassium level of 2.8. I was given iv's and potassium. Since that time I have ongoing hypokalemia .

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
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

Emergency room or emergency department visit · 1 call case(s)
2022-10-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Foggy

Release 3 — day 14, dose 2

2021-02-08

Symptoms: DiarrheaMore tired

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Severe diarrhea

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Severe exhaustion for the past 4 weeks. I am sleeping soundly for 10 to 12 hours and wake up feing as though I never slept.

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Exhaustion, muscle weakness, lightheaded, tingling

Healthcare visit (other): Under medical care for 5 months

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Rapid reasting pulse 110-115

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Usual longhaulers symptoms

2021-10-05

Systemic reaction (other): My usual stmptoms from past 7 months

2021-10-06

Systemic reaction (other): SOB with mild exertion

2021-10-07

Systemic reaction (other): Usual longhaulers symptoms

Release 10 — day 7, dose 3

2021-10-08

Systemic reaction (other): Chest pressure upon exertion along with mild SOB

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Ankle edema and body it hing are worse

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Itching

Release 10 — day 28, dose 3

2021-10-29

Symptoms: Easily SOB with mild exertion

Release 10 — day 35, dose 3

2021-11-06

Symptoms: SOB is slightly more frequent and fiod is tadting metallic.

Release 10 — day 42, dose 3

2021-11-13

Symptoms: Continued SOB on mild exertion. Now there is occassional lightheadedness.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: I have a cardiac workup schedilwd nect month due to sob, heart palpitations and rapid pulse on mild exertion

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Rapid heart rate, SOB -now under care of cardiologist. Also abnormal labs, lipids and glucose, which have always been normal before Covid.

Healthcare visit (other): Cardiologist

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: I received the second booster on May 19th. I ended up in the ER . I had nausea without vomiting. I was having cardiac symptoms and had a potassium level of 2.8. I was given iv's and potassium. Since that time I have ongoing hypokalemia .

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	Unevaluable event	✓	·	✓
SD	Blood glucose abnormal	·	·	✓
SD	Blood potassium decreased	·	·	✓
SD	Cardiovascular symptom	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Dysgeusia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hypokalaemia	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Lipids abnormal	·	·	✓
SD	Muscular weakness	✓	·	✓
SD	Nausea	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SD	Paraesthesia	✓	·	✓
SD	Pruritus	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Dyspnoea exertional	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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