4DU-84036-31909

1 vaccination 11 coded responses 14 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 865 / AZ
Registered: 2021-02-11

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-10
Dose 1 — Pfizer-BioNTech
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Dyspnoea, Emergency care — Feeling: Poor · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Dizziness, difficulty breathing and chest pain · Healthcare visit (other): Admitted 2 times to ER

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 1
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)
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Disoriented and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation, Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Disoriented and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I'm disoriented and short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — day 7, dose 1
MedDRA: Dizziness, Dyspnoea — 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: Shortness of breath and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-03
Survey response — day 21, dose 1
MedDRA: Confusional state, Dysphonia, Headache, Hypersensitivity, Pharyngeal swelling, Swollen tongue — 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, Emergency room or emergency department visit

Free text: Allergic reactions continues with hoarse voice, swelling of throat, confusion, swollen tongue and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2021-05-12
Survey response — 3 months, dose 1
MedDRA: Fatigue, Inflammation — 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: Inflammation in my body and always feeling fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-16
Survey response — 6 months, dose 1
MedDRA: Anxiety, Chest pain, Hyperhidrosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm experiencing chest pain, anxiety, and a lot of sweating.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-11
Survey response — 12 months, dose 1
MedDRA: Asthenia, Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: I get dizzy a lot and feel weak at times..

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Pfizer-BioNTech

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 7

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Dizziness, difficulty breathing and chest pain

Healthcare visit (other): Admitted 2 times to ER

2021-02-12

Systemic reaction (other): Shortness of breath

2021-02-13

Systemic reaction (other): Disoriented and shortness of breath

2021-02-14

Systemic reaction (other): Disoriented and shortness of breath

2021-02-15

Systemic reaction (other): Chest pain and shortness of breath

2021-02-16

Systemic reaction (other): I'm disoriented and short of breath

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): Shortness of breath and light headed

Release 5 — day 21, dose 1

2021-03-03

Symptoms: Allergic reactions continues with hoarse voice, swelling of throat, confusion, swollen tongue and headaches.

Release 8 — 3 months, dose 1

2021-05-12

Symptoms: Inflammation in my body and always feeling fatigue.

Release 9 — 6 months, dose 1

2021-08-16

Symptoms: I'm experiencing chest pain, anxiety, and a lot of sweating.

Release 11 — 12 months, dose 1

2022-02-11

Symptoms: I get dizzy a lot and feel weak at times..

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	Emergency care	✓	✓	✓
SD	Anxiety	✓	·	✓
SD	Asthenia	·	·	✓
SD	Chest pain	✓	·	✓
SD	Confusional state	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Swollen tongue	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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