5QF-13278-96665

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 231 / VA
Registered: 2021-04-21

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

2021-04-19
Dose 1 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Unable to sleep last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Bone pain, Diarrhoea, Fatigue, Sleep disorder, Somnolence — Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The bone pain sropped at 3 AM, then diarrhea, more fatigue, more weakness. Very sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Emergency care, Feeling abnormal — Feeling: Poor · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Had 750ml IV today, diarrhea right after. Oatmeal and soup only foods. Feel bad, do not want Pfizer #2. · Healthcare visit (other): EMT visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
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)
2021-04-26
Survey response — day 7, dose 1
MedDRA: Dehydration, Hypotension — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: BP is low, dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 21, dose 1
MedDRA: Pneumonia — Feeling: Poor · 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: Left lower lobe pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 21, 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)
2021-05-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-23
Dose 2 — Pfizer-BioNTech
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Call 1 — Left Voicemail
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-06
Survey response — day 14, dose 2
MedDRA: Arrhythmia, Pneumonia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pneumonia, arrhythmia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — 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: Left lobe pbeumonia has resolved but there is left pulmonary edema. Also a prolonged rpusode of tachycardia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-20
Survey response — day 28, dose 2
MedDRA: Cough, Diarrhoea, Hyperhidrosis, Malaise, Tachycardia, Unevaluable event — 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: Symptoms: Tachycardia, sweating, diarrhea, constant cough. I have been sick since the day after my first vaccination 4/19. · Healthcare visit (other): 24 hr Holter moniror, CT scan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call successful
Participant prefers to complete VAERS report online
2021-06-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Pfizer-BioNTech
2	2021-05-23	Pfizer-BioNTech

Call center

5 call center cases

1 successful · 4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Unable to sleep last night

2021-04-24

Systemic reaction (other): The bone pain sropped at 3 AM, then diarrhea, more fatigue, more weakness. Very sleepy.

2021-04-25

Systemic reaction (other): Had 750ml IV today, diarrhea right after. Oatmeal and soup only foods. Feel bad, do not want Pfizer #2.

Healthcare visit (other): EMT visit

Release 8 — day 7, dose 1

2021-04-26

Systemic reaction (other): BP is low, dehydrated

Release 8 — day 21, dose 1

2021-05-10

Symptoms: Left lower lobe pneumonia

Release 8 — day 14, dose 2

2021-06-06

Symptoms: Pneumonia, arrhythmia

Release 9 — day 21, dose 2

2021-06-13

Symptoms: Left lobe pbeumonia has resolved but there is left pulmonary edema. Also a prolonged rpusode of tachycardia.

Release 9 — day 28, dose 2

2021-06-20

Symptoms: Tachycardia, sweating, diarrhea, constant cough. I have been sick since the day after my first vaccination 4/19.

Healthcare visit (other): 24 hr Holter moniror, CT scan

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	Emergency care	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arrhythmia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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