5E2-11915-23328

2 vaccinations 16 coded responses 26 check-ins 16 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 334 / FL
Registered: 2021-06-18

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

2021-06-17
Dose 1 — Pfizer-BioNTech
2021-06-18
Registered in v-safe
2021-06-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Flushing, Influenza like illness, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel fluish-hot and flushed, Swollen glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Feeling hot, Flushing, Influenza — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light Cough, hoarse deep voice, flushed/hot, flu-ish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dry mouth, Laryngitis, Oropharyngeal pain, Thirst — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Terrible cough both dry and wet, laryngitis, dry mouth, excessive urination/thirst , went to dr for COVID test a d was negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dry mouth, Dysgeusia, Hypertension, Laryngitis, Nasal discomfort, Unevaluable event — Feeling: Poor · Fatigue or tiredness · 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

Free text: Systemic reaction (other): Cough, burning nose, laryngitis, higher BP than normal for me, dry mouth, bad taste · Healthcare visit (other): Yesterday and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Survey response — day 7, dose 1
MedDRA: Cough, Feeling abnormal, Headache, Nasal discomfort, Office visit, Paranasal sinus discomfort, Sneezing, Toothache — Feeling: Poor · Fatigue or tiredness · 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: Systemic reaction (other): Burning nose, fuzzy head, cough, sneezing, sinus pressure, teeth pain, slight headache · Healthcare visit (other): Saw primary dr yesterday who prescribed steroid pack, Flonase, omnicef, I missed the check in yesterday and on day 2 of the meds. Cough has improved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-06-30
Call successful
Does not wish to fill out VAERS report
2021-07-01
Survey response — day 14, dose 1
MedDRA: Cardiac flutter, Dyspnoea, Emergency care, Eye pain, Fatigue, Palpitations, Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart flutters, tickling, racing heart, shortness of breath, ice cold feet off and on a few days, right eye stabbing pain. Each day different but today mainly fatigue and the heart, easily winded symptoms . ER today x ray ok, WBC 13K, discharged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
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)
2021-07-06
Call 1 — Left Voicemail
2021-07-08
Survey response — day 21, dose 1
MedDRA: Cardiac flutter, Dyspnoea, Emergency care, Fatigue, Head discomfort, Hypertension, Malaise, Muscle spasms — 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: Had more blood work today as follow up to ER visit. Still have shortness breath, high BP, extreme fatigue, calf spasms, heart flutter, head feels full/heavy, want to get second dose but afraid. Dr sending me to cardiologist and ENT. I feel off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Survey response — day 28, dose 1
MedDRA: Back pain, Blood pressure inadequately controlled, Cardiac flutter, Chest discomfort, Electrocardiogram abnormal, Hypertension, Medical observation, Palpitations, Pollakiuria, Pre-existing disease, White blood cell disorder — 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 · Hospitalization

Free text: Unstable blood pressure, hypertension, back pain, urination every 20 min, heart flutters, chest tight, palpitations, unstable white blood cell, 13, 8.5, 11, 10 all in days. Inflammatory response ongoing. Admitted hospital 1 night, abnormal ekg,sinus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-22
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-07-22
Call 1 — Left Voicemail
2021-07-29
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-09-16
Survey response — 3 months, dose 1
MedDRA: Blood pressure abnormal, Brain fog, Dizziness, Head discomfort, Headache, Office visit, Paranasal sinus discomfort, Pulse abnormal, Sinus pain, Tachycardia — 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

Free text: Incredible pressure and pain in my head and sinuses, headaches, severe brain fog, bounding pulse, feel pulse all over, dizzy, tachycardia, erratic BP, new meds, spending thousands in dr appts, meds

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-17
Call 1 — Left Voicemail
2021-10-15
Dose 2 — Pfizer-BioNTech
2021-10-16
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Dyspnoea, Feeling abnormal, Heart rate increased — Feeling: Fair · Site: Pain

Free text: Racing pulse, slight shortness of breath, heaviness, spacey

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Palpitations, Paranasal sinus discomfort — Feeling: Fair · Headache

Free text: Racing heart, higher blood pressure, sinus pressure like heartbeat in head

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Fair · Headache

Free text: Racing heart, congestion, sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good

Free text: Sinus pressure but not as bad

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-22
Survey response — day 7, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good

Free text: Little sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-01-14
Survey response — 3 months, dose 2
MedDRA: Discomfort, Palpitations, Pulse abnormal, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Ongoing sinusitis, sinus infection, heart palpitations, bounding pulse, pressure in face

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-20
Call 2 — Left Voicemail
2022-04-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-10-15
Survey response — 12 months, dose 2
MedDRA: Blood pressure abnormal, Blood pressure increased, Brain fog, Cognitive disorder, Discomfort, Dyspnoea, Head discomfort — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Worsening brain fog and cognitive function, fullness/heaviness /pressure in face/head, sinusitis, air hunger, inconsistent and high blood pressure

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-17	Pfizer-BioNTech
2	2021-10-15	Pfizer-BioNTech	No

Call center

7 call center cases

4 successful · 3 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): Feel fluish-hot and flushed, Swollen glands

2021-06-20

Systemic reaction (other): Light Cough, hoarse deep voice, flushed/hot, flu-ish

2021-06-21

Systemic reaction (other): Terrible cough both dry and wet, laryngitis, dry mouth, excessive urination/thirst , went to dr for COVID test a d was negative

2021-06-22

Systemic reaction (other): Cough, burning nose, laryngitis, higher BP than normal for me, dry mouth, bad taste

Healthcare visit (other): Yesterday and today

Release 9 — day 7, dose 1

2021-06-24

Systemic reaction (other): Burning nose, fuzzy head, cough, sneezing, sinus pressure, teeth pain, slight headache

Healthcare visit (other): Saw primary dr yesterday who prescribed steroid pack, Flonase, omnicef, I missed the check in yesterday and on day 2 of the meds. Cough has improved

Release 9 — day 14, dose 1

2021-07-01

Symptoms: Heart flutters, tickling, racing heart, shortness of breath, ice cold feet off and on a few days, right eye stabbing pain. Each day different but today mainly fatigue and the heart, easily winded symptoms . ER today x ray ok, WBC 13K, discharged.

Release 9 — day 21, dose 1

2021-07-08

Symptoms: Had more blood work today as follow up to ER visit. Still have shortness breath, high BP, extreme fatigue, calf spasms, heart flutter, head feels full/heavy, want to get second dose but afraid. Dr sending me to cardiologist and ENT. I feel off.

Release 9 — day 28, dose 1

2021-07-15

Symptoms: Unstable blood pressure, hypertension, back pain, urination every 20 min, heart flutters, chest tight, palpitations, unstable white blood cell, 13, 8.5, 11, 10 all in days. Inflammatory response ongoing. Admitted hospital 1 night, abnormal ekg,sinus cut off by CDC

Release 9 — 3 months, dose 1

2021-09-16

Symptoms: Incredible pressure and pain in my head and sinuses, headaches, severe brain fog, bounding pulse, feel pulse all over, dizzy, tachycardia, erratic BP, new meds, spending thousands in dr appts, meds

Release 10 — days 1–6 daily, dose 2

2021-10-16

Systemic reaction (other): Racing pulse, slight shortness of breath, heaviness, spacey

2021-10-17

Systemic reaction (other): Racing heart, higher blood pressure, sinus pressure like heartbeat in head

2021-10-18

Systemic reaction (other): Racing heart, congestion, sinus pressure

2021-10-20

Systemic reaction (other): Sinus pressure but not as bad

Release 10 — day 7, dose 2

2021-10-22

Systemic reaction (other): Little sinus pressure

Release 10 — 3 months, dose 2

2022-01-14

Symptoms: Ongoing sinusitis, sinus infection, heart palpitations, bounding pulse, pressure in face

Release 12 — 12 months, dose 2

2022-10-15

Symptoms: Worsening brain fog and cognitive function, fullness/heaviness /pressure in face/head, sinusitis, air hunger, inconsistent and high blood pressure

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	Cough	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Blood pressure inadequately controlled	✓	·	✓
SD	Blood pressure increased	·	·	✓
SD	Brain fog	·	·	✓
SD	Cardiac flutter	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Cognitive disorder	·	·	✓
SD	Discomfort	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Electrocardiogram abnormal	✓	·	✓
SD	Emergency care	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Medical observation	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Office visit	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pollakiuria	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pulse abnormal	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sinusitis	·	·	✓
SD	Tachycardia	·	·	✓
SD	White blood cell disorder	✓	·	✓
SRO	Blood pressure increased	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypertension	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Laryngitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sneezing	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Toothache	✓	✓	✓

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