4GH-30908-84012

2 vaccinations 14 coded responses 22 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 950 / CA
Registered: 2021-02-20

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

2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Nasal congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Nasal congestion, like when you get a cold. Also, fatigue could be from when I had covid in Dec-Jan since I had long-haul fatigue symptom before vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Could be the covid fatigue Ive had since I got covid late December

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 14, dose 1
MedDRA: Palpitations, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Heart palpitations, up to 5 PVCs in 30 seconds. Am seeing a cardiologist. · Healthcare visit (other): Will wear heart monitor too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Blood glucose decreased, Palpitations — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations. Weak, similar to low blood sugar, but ate well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Palpitations — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart Palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Survey response — day 21, dose 2
MedDRA: COVID-19, Dizziness, Dysphonia, Fatigue, Inhalation therapy, Medical counselling, Palpitations, Specialist consultation — 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

Free text: Symptoms: Started an inhaler, Flovent, on advice of pulmonologist. Now have hoarseness and dizziness. Still struggling with Covid fatigue and heart palpitations. · Healthcare visit (other): GP, cardiologist, pulmonologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — day 28, dose 2
MedDRA: Laryngitis, Office visit — Feeling: Poor · Be unable to do your normal daily activities

Free text: Laryngitis, but perhaps it is caused by steroid inhaler prescribed by pulmonologist who is trying to help with my long-covid lung issues.

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

Free text: Indigestion- but possibly related to steroid inhaler with dairy powder, Flovent Discus. Upon stopping Flovent my laryngitis went away and my energy is better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 42, dose 2
MedDRA: Alopecia, Fatigue, Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continuing: Fatigue, palpitationsNew: Hair shedding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Call 1 — Left Voicemail
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Mast cell activation syndrome, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My allergies have gotten very bad, Mast Cell Activation Syndrome. · Healthcare visit (other): Am schedule with Stanford covid clinic

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Nasal congestion, like when you get a cold. Also, fatigue could be from when I had covid in Dec-Jan since I had long-haul fatigue symptom before vaccination.

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): Could be the covid fatigue Ive had since I got covid late December

Release 5 — day 14, dose 1

2021-03-07

Symptoms: Heart palpitations, up to 5 PVCs in 30 seconds. Am seeing a cardiologist.

Healthcare visit (other): Will wear heart monitor too

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Heart palpitations

2021-03-14

Systemic reaction (other): Heart palpitations

2021-03-15

Systemic reaction (other): Heart palpitations

2021-03-17

Systemic reaction (other): Heart palpitations

2021-03-18

Systemic reaction (other): Heart palpitations. Weak, similar to low blood sugar, but ate well.

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Heart Palpitations

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Started an inhaler, Flovent, on advice of pulmonologist. Now have hoarseness and dizziness. Still struggling with Covid fatigue and heart palpitations.

Healthcare visit (other): GP, cardiologist, pulmonologist

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Laryngitis, but perhaps it is caused by steroid inhaler prescribed by pulmonologist who is trying to help with my long-covid lung issues.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Indigestion- but possibly related to steroid inhaler with dairy powder, Flovent Discus. Upon stopping Flovent my laryngitis went away and my energy is better.

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Continuing: Fatigue, palpitationsNew: Hair shedding

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: My allergies have gotten very bad, Mast Cell Activation Syndrome.

Healthcare visit (other): Am schedule with Stanford covid clinic

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	Unevaluable event	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Inhalation therapy	✓	✓	✓
SD	Laryngitis	✓	✓	✓
SD	Mast cell activation syndrome	·	·	✓
SD	Office visit	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Specialist consultation	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood glucose decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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