4KL-25060-94156

3 vaccinations 19 coded responses 39 check-ins 19 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 975 / OR
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Survey response — day 0, dose 1
MedDRA: Dizziness, Dyspnoea — Feeling: Good · Site: Itching · Fever · Chills, Fatigue or tiredness, Abdominal pain

Free text: Dizzy out of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Dizzy lungs feel heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dizziness, Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Feel out of breath and dizzy and have had a dry cough for two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Chest pain, Gastrointestinal pain, Nausea — Feeling: Poor

Free text: Pain in my intestines and it feels like someone has punched me in the chest . I feel nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy chest feels tight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling cold — Feeling: Good

Free text: Excessive Fatigue has been coming in waves and off and on I get extremely cold. It just comes and goes . I feel much better

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

Free text: Headache and body aches fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 35, dose 2
MedDRA: Gastrointestinal pain, Nausea — Feeling: Fair

Free text: My colon feels bruised . Still getting waves of nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Fatigue, Flank pain, Headache, Muscular weakness — Feeling: Fair

Free text: A lot of pain in my gut and right flank. Fatigue joint pain muscle weakness headaches still off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Bone pain, Fatigue, Gastrointestinal disorder, Muscular weakness, Renal disorder — Feeling: Poor · Be unable to work or attend school

Free text: Problems with my digestive tract. Lesion on my kidney . Extreme fatigue joint and bone pain muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Chest pain, Heart rate increased, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I forgot to report that i have been dealing with a dealing with a rapid heart rate .it it on and off usually worse when resting . Also an occasional pain in the center of my chest · Healthcare visit (other): Regular doctors office visit ultra sound mri

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-14
Call successful
Reported to VAERS during previous contact from GDIT
2021-11-12
Dose 3 — Janssen/Johnson & Johnson
2021-11-12
Survey response — day 0, dose 3
MedDRA: Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Fast heart rate 110-135 breathing is heavy

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Pain in My leg

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Ageusia, Chest discomfort, Sinus pain — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Lungs feel heavy sinus hurts can't taste anything

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Blood urine present, Flank pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still bleeding urine sometimes nose . Pain in right flank and abdominal area is more frequently having pain if first started after the Pfizer vaccine · Healthcare visit (other): Been seeing a doctor for it

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-20
Call 1 — Left Voicemail
2021-12-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-24
Survey response — day 42, dose 3
MedDRA: Asthenia, Dizziness, Haemorrhage — Feeling: Fair · Be unable to work or attend school

Free text: Still bleeding from the Pfizer vaccine . Today I felt dizzy and weak

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — 3 months, dose 3
MedDRA: Haemorrhage, Skin discolouration — Feeling: Poor

Free text: Still bleeding it seems to go up and down . I have a lot more spots under my skin

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — 6 months, dose 3
MedDRA: Blood pressure fluctuation, Oxygen saturation abnormal, Tachycardia — Feeling: Fair

Free text: Tachycardia blood pressure going high then normal to low . Oxygen also varies low to normal . Gets low mainly in the evenings

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — 12 months, dose 3
MedDRA: Renal cyst, Renal mass — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cysts on kidneys and a spot on one kidney

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-11-12	Janssen/Johnson & Johnson	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Dizzy out of breath

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Dizzy lungs feel heavy

2021-03-24

Systemic reaction (other): Feel out of breath and dizzy and have had a dry cough for two days

Release 7 — day 14, dose 1

2021-04-05

Symptoms: Pain in my intestines and it feels like someone has punched me in the chest . I feel nauseous

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Dizzy chest feels tight

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Excessive Fatigue has been coming in waves and off and on I get extremely cold. It just comes and goes . I feel much better

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Headache and body aches fatigue

Release 8 — day 35, dose 2

2021-05-16

Symptoms: My colon feels bruised . Still getting waves of nausea

Release 8 — day 42, dose 2

2021-05-24

Symptoms: A lot of pain in my gut and right flank. Fatigue joint pain muscle weakness headaches still off and on

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Problems with my digestive tract. Lesion on my kidney . Extreme fatigue joint and bone pain muscle weakness

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: I forgot to report that i have been dealing with a dealing with a rapid heart rate .it it on and off usually worse when resting . Also an occasional pain in the center of my chest

Healthcare visit (other): Regular doctors office visit ultra sound mri

Release 10 — day 0, dose 3

2021-11-12

Systemic reaction (other): Fast heart rate 110-135 breathing is heavy

Release 10 — days 1–6 daily, dose 3

2021-11-14

Systemic reaction (other): Pain in My leg

2021-11-15

Systemic reaction (other): Lungs feel heavy sinus hurts can't taste anything

Release 10 — day 35, dose 3

2021-12-17

Symptoms: Still bleeding urine sometimes nose . Pain in right flank and abdominal area is more frequently having pain if first started after the Pfizer vaccine

Healthcare visit (other): Been seeing a doctor for it

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Still bleeding from the Pfizer vaccine . Today I felt dizzy and weak

Release 11 — 3 months, dose 3

2022-02-13

Symptoms: Still bleeding it seems to go up and down . I have a lot more spots under my skin

Release 11 — 6 months, dose 3

2022-05-14

Symptoms: Tachycardia blood pressure going high then normal to low . Oxygen also varies low to normal . Gets low mainly in the evenings

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: Cysts on kidneys and a spot on one kidney

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	Abdominal pain	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Blood pressure fluctuation	·	·	✓
SD	Blood urine present	·	·	✓
SD	Bone pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Haemorrhage	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Pain	✓	✓	✓
SD	Renal cyst	·	·	✓
SD	Renal disorder	✓	✓	✓
SD	Renal mass	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Sinus pain	·	·	✓

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