4CC-30345-49386

1 vaccination 10 coded responses 13 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 447 / OH
Registered: 2021-11-22

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

2021-11-22
Registered in v-safe
2021-11-22
Dose 1 — Pfizer-BioNTech
2021-11-22
Survey response — day 0, dose 1
MedDRA: Dry mouth, Dysgeusia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Dry mouth and metallic taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Palpitations, Tremor — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe insomnia, internal tremors, heart racing

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Insomnia, Tinnitus, Tremor — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sweating, tinnitus in left ear, insomnia, internal tremors

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Tinnitus, Tremor — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Insomnia, internal tremors, tinnitus in left ear

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — days 1–6 daily, dose 1
MedDRA: Eyelid pain, Insomnia, Swelling of eyelid, Tinnitus, Tremor — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Left eyelid swollen and painful, internal tremors, insomnia, tinnitus left ear

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-27
Survey response — days 1–6 daily, dose 1
MedDRA: Eyelid pain, Paraesthesia, Swelling of eyelid, Tremor — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Eyelid is swollen and sore, internal tremors/tingling skin in arms and legs

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-28
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Office visit, Paraesthesia, Swelling of eyelid, Tremor — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Internal tremors and tingling/burning skin on arms legs hands and feet, eyelid swollen · Healthcare visit (other): Visit w general practioner

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-29
Survey response — day 7, dose 1
MedDRA: Burning sensation, Office visit, Paraesthesia, Skin burning sensation, Swelling of eyelid, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tingling and burning skin on hands feet arms and legs, internal tremors, swollen eyelid · Healthcare visit (other): Allergist appt

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-12-20
Survey response — day 28, dose 1
MedDRA: Burning sensation, Language disorder, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still having tingling and burning feelings in hands feet legs and arms. Have been noticing strange issues with language, skipping words or saying the wrong word etc at least 2-3 times a day.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-22
Call 1 — Left Voicemail
2022-01-03
Survey response — day 42, dose 1
MedDRA: Burning sensation, Eye swelling, Hypersensitivity, Nervous system disorder, Office visit, Skin burning sensation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye is still swollen from allergic reaction and still have neurological issues. Burning skin in hands feet arms legs. · Healthcare visit (other): Continued testing and dr appts

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call 2 — Could Not Reach Participant
2022-01-07
Callback requested for
2022-02-21
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2022-11-22
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-22	Pfizer-BioNTech	No

Call center

6 call center cases

4 successful · 2 unsuccessful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 10 — day 0, dose 1

2021-11-22

Systemic reaction (other): Dry mouth and metallic taste in mouth

Release 10 — days 1–6 daily, dose 1

2021-11-23

Systemic reaction (other): Severe insomnia, internal tremors, heart racing

2021-11-24

Systemic reaction (other): Sweating, tinnitus in left ear, insomnia, internal tremors

2021-11-25

Systemic reaction (other): Insomnia, internal tremors, tinnitus in left ear

2021-11-26

Systemic reaction (other): Left eyelid swollen and painful, internal tremors, insomnia, tinnitus left ear

2021-11-27

Systemic reaction (other): Eyelid is swollen and sore, internal tremors/tingling skin in arms and legs

2021-11-28

Systemic reaction (other): Internal tremors and tingling/burning skin on arms legs hands and feet, eyelid swollen

Healthcare visit (other): Visit w general practioner

Release 10 — day 7, dose 1

2021-11-29

Systemic reaction (other): Tingling and burning skin on hands feet arms and legs, internal tremors, swollen eyelid

Healthcare visit (other): Allergist appt

Release 10 — day 28, dose 1

2021-12-20

Symptoms: Still having tingling and burning feelings in hands feet legs and arms. Have been noticing strange issues with language, skipping words or saying the wrong word etc at least 2-3 times a day.

Release 10 — day 42, dose 1

2022-01-03

Symptoms: Eye is still swollen from allergic reaction and still have neurological issues. Burning skin in hands feet arms legs.

Healthcare visit (other): Continued testing and dr appts

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	·	·	✓
SD	Burning sensation	·	·	✓
SD	Eye swelling	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Language disorder	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Skin burning sensation	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Eyelid pain	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Skin burning sensation	·	·	✓
SRO	Swelling of eyelid	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Tremor	·	·	✓

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