5MV-20771-54293

1 vaccination 10 coded responses 11 check-ins 10 free-text entries 8 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 262 / WV
Registered: 2020-12-31

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Hypertension, Office visit, Peripheral swelling, Pharyngeal swelling, Stomatitis, Swelling face, Throat irritation — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, 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): High bp. Swelling in the face,throat, arms leggs cough sever raw mouth an throat · Healthcare visit (other): Medexpress urgent care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hypertension, Office visit, Pharyngeal swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: High bp 145/94. High heart rate 122 an throat swelling had to go urgent Care to get injection for swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
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)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hypertension — Feeling: Fair · Site: Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: High blood pressure an heart rate 122

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — day 7, dose 1
MedDRA: Heart rate increased, Peripheral swelling — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swellling in hands an feet.. heart rate 100

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — day 14, dose 1
MedDRA: Malaise, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am still having on an off in my face .. hands feet an legs some days I feel terrible but other days I feel fine .. I have hard time climbing steps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Survey response — day 28, dose 1
MedDRA: Heart rate increased, Peripheral swelling, Specialist consultation, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling in my feet hands an face .. i also have heart rate 125 occasionally · Healthcare visit (other): Primary care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Call 1 — Left Voicemail
2021-01-28
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-02-01
Survey response — day 35, dose 1
MedDRA: Dyspnoea, Heart rate increased, Hypertension — Feeling: Fair · Be unable to do your normal daily activities

Free text: High blood pressure an high heart rate an Sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — 3 months, dose 1
MedDRA: COVID-19 pneumonia — 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

Free text: Covid pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Survey response — 6 months, dose 1
MedDRA: Arthralgia, Pneumonia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sever joint pain an pneumonia twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Call 1 — Left Voicemail
2021-12-28
Survey response — 12 months, dose 1
MedDRA: Back pain, Hypertension, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: High blood pressure.. chronic pain in back stuffiness in my hands

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech

Call center

8 call center cases

6 successful · 2 unsuccessful

VAERS report filed, before or during a call: 7

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): High bp. Swelling in the face,throat, arms leggs cough sever raw mouth an throat

Healthcare visit (other): Medexpress urgent care

2021-01-01

Systemic reaction (other): High bp 145/94. High heart rate 122 an throat swelling had to go urgent Care to get injection for swelling

2021-01-03

Systemic reaction (other): High blood pressure an heart rate 122

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Swellling in hands an feet.. heart rate 100

Release 1 — day 14, dose 1

2021-01-11

Symptoms: I am still having on an off in my face .. hands feet an legs some days I feel terrible but other days I feel fine .. I have hard time climbing steps

Release 2 — day 28, dose 1

2021-01-25

Symptoms: Swelling in my feet hands an face .. i also have heart rate 125 occasionally

Healthcare visit (other): Primary care

Release 3 — day 35, dose 1

2021-02-01

Symptoms: High blood pressure an high heart rate an Sob

Release 6 — 3 months, dose 1

2021-03-29

Symptoms: Covid pneumonia

Release 9 — 6 months, dose 1

2021-06-28

Symptoms: Sever joint pain an pneumonia twice

Release 10 — 12 months, dose 1

2021-12-28

Symptoms: High blood pressure.. chronic pain in back stuffiness in my hands

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	Medical observation	○	○	○
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	COVID-19 pneumonia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Medical observation	○	○	○
SRO	Office visit	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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