54V-27468-34295

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 983 / WA
Registered: 2021-05-09

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

2021-05-08
Dose 1 — Pfizer-BioNTech
2021-05-09
Registered in v-safe
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Nervousness, Nightmare, Palpitations — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Last night racing heartbeat and strange nightmares. No chills but body felt shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-04
Dose 2 — Pfizer-BioNTech
2021-06-04
Survey response — day 0, dose 2
MedDRA: Arthralgia, Chest pain, Neck pain — Feeling: Good · Fatigue or tiredness

Free text: Very mild chest pain, ache between shoulder and neck on side injection was given. This ache comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Musculoskeletal stiffness, Neck pain, Sinus pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck aches and feels stiff, ear ache and sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Decreased appetite, Feeling abnormal, Headache, Neck pain, Nervousness, Tremor — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Mild cough, no appetite, feel shaky and weird. Headache on one side of my head very sharp, neck hurts a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Shortness of breath, small cough, mild chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair · Fatigue or tiredness

Free text: Mild cough, mild chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-11
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Cough that wont go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 3 months, dose 2
MedDRA: Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: Heart palpitations, racing heart rate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-06-04
Survey response — 12 months, dose 2
MedDRA: Depressed mood, Ear discomfort, Fear, Feeling abnormal, Hypoaesthesia, Insomnia, Malabsorption, Nightmare, Office visit, Tachycardia, Tinnitus — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Tachycardia, not absorbing food, not sleeping, nightmares, floating, depressed, fearful, pressure in ears, ringing, nerve numbness, the list goes on and on yet no one has ever contacted me.. · Healthcare visit (other): Specialists

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-06-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-08	Pfizer-BioNTech
2	2021-06-04	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-10

Systemic reaction (other): Last night racing heartbeat and strange nightmares. No chills but body felt shaky

2021-05-13

Systemic reaction (other): Tinnitus

2021-05-14

Systemic reaction (other): Tinnitus

Release 8 — day 7, dose 1

2021-05-15

Systemic reaction (other): Tinnitus

Release 8 — day 0, dose 2

2021-06-04

Systemic reaction (other): Very mild chest pain, ache between shoulder and neck on side injection was given. This ache comes and goes

Release 8 — days 1–6 daily, dose 2

2021-06-06

Systemic reaction (other): Neck aches and feels stiff, ear ache and sinus pain

2021-06-07

Systemic reaction (other): Mild cough, no appetite, feel shaky and weird. Headache on one side of my head very sharp, neck hurts a little

2021-06-08

Systemic reaction (other): Shortness of breath, small cough, mild chest tightness

Release 9 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Mild cough, mild chest pressure

Release 9 — day 7, dose 2

2021-06-11

Systemic reaction (other): Cough that wont go away

Release 9 — 3 months, dose 2

2021-09-03

Symptoms: Heart palpitations, racing heart rate

Release 11 — 12 months, dose 2

2022-06-04

Symptoms: Tachycardia, not absorbing food, not sleeping, nightmares, floating, depressed, fearful, pressure in ears, ringing, nerve numbness, the list goes on and on yet no one has ever contacted me..

Healthcare visit (other): Specialists

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	Depressed mood	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Fear	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Insomnia	·	·	✓
SD	Malabsorption	·	·	✓
SD	Nightmare	·	·	✓
SD	Palpitations	✓	·	✓
SD	Tachycardia	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	○
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	·	·	✓

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