4SV-32361-67710

3 vaccinations 4 coded responses 36 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-03-10

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: 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: Bilateral wrist and finger joint inflammation, pain and swelling which doesnt go away even after taking Advil for the last 4 days nonstop.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair

Free text: I have been feeling episodes of SOB feeling like I will pass out. I also had the exact same feeling a day after my 2nd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-10
Dose 3 — Pfizer-BioNTech
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-01-17
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Call 1 — Left Voicemail
2022-03-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-11
Survey response — 3 months, dose 3
MedDRA: COVID-19, Dyspnoea, Heart rate increased, Hospitalisation, Syncope — Feeling: Poor · Be unable to work or attend school, 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: I'm been having syncopal episodes with rapid heart rate and shortness or breath. I was admitted to thr hospital for 3 days and they can't find a reason for it except that I was vaccinated and got covid

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-04-13
Call 2 — Left Voicemail
2022-07-12
Survey response — 6 months, dose 3
MedDRA: Pain in extremity, Pallor, Peripheral coldness, Poor peripheral circulation, Pyrexia — 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: Hand became pale, cold and painful with no blood flow for about couple hours. High grade fever for 2 days.

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-12
Call successful
Participant prefers to complete VAERS report online
2022-07-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2022-01-10	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Bilateral wrist and finger joint inflammation, pain and swelling which doesnt go away even after taking Advil for the last 4 days nonstop.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): I have been feeling episodes of SOB feeling like I will pass out. I also had the exact same feeling a day after my 2nd vaccine

Release 11 — 3 months, dose 3

2022-04-11

Symptoms: I'm been having syncopal episodes with rapid heart rate and shortness or breath. I was admitted to thr hospital for 3 days and they can't find a reason for it except that I was vaccinated and got covid

Release 12 — 6 months, dose 3

2022-07-12

Symptoms: Hand became pale, cold and painful with no blood flow for about couple hours. High grade fever for 2 days.

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
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pallor	·	·	✓
SD	Peripheral coldness	·	·	✓
SD	Poor peripheral circulation	·	·	✓
SD	Pyrexia	·	·	✓
SD	Syncope	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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