4GU-66579-93311

3 vaccinations 14 coded responses 38 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 740 / OK
Registered: 2021-03-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Blood potassium decreased, Emergency care, Headache, Platelet count decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ended up in the emergency room. They said my potassium had dropped severely and after blood work I found out that I am now low on my platelets and something else I believe referred to as MCHC. Have also continued to have headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: Swollen calves and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 2
MedDRA: Nausea, Pain, Vomiting — Feeling: Fair

Free text: Nausea, some throwing up. Body wide aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 28, dose 2
MedDRA: Constipation, Myalgia — Feeling: Fair

Free text: Constipation and continued muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 35, dose 2
MedDRA: Nausea — Feeling: Fair

Free text: Still having bouts of nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Blood potassium decreased, Hepatic enzyme increased, Nausea, Syncope — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: High liver enzymes, fainting, nausea, low potassium

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Dehydration, Fatigue — Feeling: Fair

Free text: Dehydration, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-12
Survey response — day 7, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 14, dose 3
MedDRA: Lymphadenopathy, Pain in jaw — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore jaw with some swollen glands on right side

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy, Office visit, Pain in jaw — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen glands and pain in the right jaw · Healthcare visit (other): Regular dr

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call successful
Participant prefers to complete VAERS report online
2021-12-03
Survey response — day 28, dose 3
MedDRA: Facial pain, Muscle tightness, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Seized up jaw muscle on right side of face. Facial pain · Healthcare visit (other): Dentist and pcp

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-07
Call 1 — Requested Callback
2021-12-07
Callback requested for
06:00PM ET
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2021-12-12
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Muscular weakness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body wide muscle weakness

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — 12 months, dose 3
MedDRA: Myalgia, Nervous system disorder, Swelling, Unevaluable event — Feeling: Poor · 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: Body wide muscle pain and some swelling even with exercise. Issues with nerves in left arm which is where I've had all vaccines · Healthcare visit (other): Potential emg to check nerves.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-05	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Ended up in the emergency room. They said my potassium had dropped severely and after blood work I found out that I am now low on my platelets and something else I believe referred to as MCHC. Have also continued to have headaches.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Swollen calves and hands

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Nausea, some throwing up. Body wide aches

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Constipation and continued muscle aches.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Still having bouts of nausea

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: High liver enzymes, fainting, nausea, low potassium

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Dehydration, exhaustion

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Runny nose

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Runny nose

Release 10 — day 14, dose 3

2021-11-19

Symptoms: Sore jaw with some swollen glands on right side

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Swollen glands and pain in the right jaw

Healthcare visit (other): Regular dr

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Seized up jaw muscle on right side of face. Facial pain

Healthcare visit (other): Dentist and pcp

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Body wide muscle weakness

Release 12 — 12 months, dose 3

2022-11-05

Symptoms: Body wide muscle pain and some swelling even with exercise. Issues with nerves in left arm which is where I've had all vaccines

Healthcare visit (other): Potential emg to check nerves.

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 potassium decreased	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Facial pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hepatic enzyme increased	✓	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nervous system disorder	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Platelet count decreased	✓	✓	✓
SD	Swelling	·	·	✓
SD	Syncope	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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