5TQ-28732-88935

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 100 / NY
Registered: 2021-07-06

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-06
Registered in v-safe
2021-07-06
Dose 1 — Pfizer-BioNTech
2021-07-06
Survey response — day 0, dose 1
MedDRA: Anxiety, Glossodynia, Injection site pain, Pain — Feeling: Fair

Free text: Pain in tongue radiating wrong ar on side of injection slight - worries for palsy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Immediate post-injection reaction — Feeling: Fair

Free text: Ensarion around back of ear and left jaw like immediately after shot but went away. Had some angst about it and did some deep breaths

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ankle and knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Swelling — Feeling: Good

Free text: Small bump appeared itchy- yesterday and another today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-07-13
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-07-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-28
Dose 2 — Pfizer-BioNTech
2021-07-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-07-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-04
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph nodes under jaw/ neck a little bigger

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — day 21, dose 2
MedDRA: Emergency care, Immediate post-injection reaction, Palpitations, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sudden heart palpitations while grocery shopping. No shortness of breath or trouble breathing. Same thing happened immediately after second covid vaccine shot while being monitored. Also happened with a flu vaccine in 2012 directly after injection · Healthcare visit (other): Ems called at store but not transported to hospital

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Survey response — day 28, dose 2
MedDRA: Impaired driving ability, Office visit, Palpitations — Feeling: Fair · 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: Symptoms: Same heart palpitations from last report but after mid day caffeine. Have no history of caffeine sensitivity. Could not drive for several hours until resting heart rate below 100 · Healthcare visit (other): Cardiology consult

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
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)
2021-08-25
Call 1 — Left Voicemail
2021-08-25
Call successful
Participant prefers to complete VAERS report online
2021-09-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 3 months, dose 2
MedDRA: Flatulence, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Palpitations with caffeine or gas.,

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2022-01-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-06	Pfizer-BioNTech	No
2	2021-07-28	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-07-06

Systemic reaction (other): Pain in tongue radiating wrong ar on side of injection slight - worries for palsy

Release 9 — days 1–6 daily, dose 1

2021-07-08

Systemic reaction (other): Ensarion around back of ear and left jaw like immediately after shot but went away. Had some angst about it and did some deep breaths

2021-07-10

Systemic reaction (other): Ankle and knees

2021-07-11

Systemic reaction (other): Small bump appeared itchy- yesterday and another today

Release 9 — day 7, dose 2

2021-08-04

Systemic reaction (other): Lymph nodes under jaw/ neck a little bigger

Release 9 — day 21, dose 2

2021-08-18

Symptoms: Sudden heart palpitations while grocery shopping. No shortness of breath or trouble breathing. Same thing happened immediately after second covid vaccine shot while being monitored. Also happened with a flu vaccine in 2012 directly after injection

Healthcare visit (other): Ems called at store but not transported to hospital

Release 9 — day 28, dose 2

2021-08-25

Symptoms: Same heart palpitations from last report but after mid day caffeine. Have no history of caffeine sensitivity. Could not drive for several hours until resting heart rate below 100

Healthcare visit (other): Cardiology consult

Release 10 — 3 months, dose 2

2021-10-29

Symptoms: Palpitations with caffeine or gas.,

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	Office visit	✓	·	✓
SD	Flatulence	·	·	✓
SD	Immediate post-injection reaction	✓	·	✓
SD	Impaired driving ability	✓	·	✓
SD	Palpitations	✓	·	✓
SD	Reaction to previous exposure to any vaccine	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	○	○	○
SRO	Glossodynia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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