5W9-27457-63623

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

Sex: Female
Age at first dose: 61-65
ZIP prefix: 467 / IN
Registered: 2020-12-27

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

2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-27
Registered in v-safe
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Bell's palsy, Dizziness, Hypertension, Palpitations — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: I had reported issues on the day of my initial vaccine on Saturday including heart pounding, hypertension, lightheadedness. Sunday was not a good day...belles Palsy lije symptoms continued. Today is much better!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Back to mostly normal today following sat(injection day), and Sunday being not good and Monday so so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Dose 2 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 2
MedDRA: Anxiety, Dizziness, Eructation, Muscular weakness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Bells palsy symptoms, joint weakness, light headedness, HTN all sme as first dose. Came on faster but not as severe which I attribute to a plan by my health system ID physician. I did not have the feeling of impending doom this time!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 2
MedDRA: Bell's palsy, Hypertension, Palpitations — Feeling: Good

Free text: Intermittent Bells Palsy symptoms continue but has bedn ongoing since first vaccine. Also have noticed Intermittent short lived heart pounding and feelings assoc with hypertension. These continue to improve but agsin ongoing since first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Chronic fatigue that seems to be more of an ongoing issue and worse at times. Easily chilled but no fevers etc. Symptoms coincide with others thst I have talked with. Not debilitating but persistent!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-18
Survey response — 3 months, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Persistant fatigue and intermittent joint weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — 6 months, dose 2
MedDRA: Asthenia, Chest discomfort, Cough, Fatigue, Headache, Hypertension, Medical counselling, Office visit, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent intractable cough treated with steroids, antibiotics, neg chest xray, Intermittent fatigue, fevers, chest heaviness, headaches, hypertension, joint weakness. Seems recurring issues post Covid vaccines. · Healthcare visit (other): PCP AND MY COWORKER INPUT (Doctors)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-15	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): I had reported issues on the day of my initial vaccine on Saturday including heart pounding, hypertension, lightheadedness. Sunday was not a good day...belles Palsy lije symptoms continued. Today is much better!

2020-12-29

Systemic reaction (other): Back to mostly normal today following sat(injection day), and Sunday being not good and Monday so so.

Release 2 — day 0, dose 2

2021-01-15

Systemic reaction (other): Bells palsy symptoms, joint weakness, light headedness, HTN all sme as first dose. Came on faster but not as severe which I attribute to a plan by my health system ID physician. I did not have the feeling of impending doom this time!

Release 2 — day 7, dose 2

2021-01-22

Systemic reaction (other): Intermittent Bells Palsy symptoms continue but has bedn ongoing since first vaccine. Also have noticed Intermittent short lived heart pounding and feelings assoc with hypertension. These continue to improve but agsin ongoing since first vaccine

Release 4 — day 28, dose 2

2021-02-14

Symptoms: Chronic fatigue that seems to be more of an ongoing issue and worse at times. Easily chilled but no fevers etc. Symptoms coincide with others thst I have talked with. Not debilitating but persistent!

Release 7 — 3 months, dose 2

2021-04-18

Symptoms: Persistant fatigue and intermittent joint weakness

Release 9 — 6 months, dose 2

2021-07-16

Symptoms: Intermittent intractable cough treated with steroids, antibiotics, neg chest xray, Intermittent fatigue, fevers, chest heaviness, headaches, hypertension, joint weakness. Seems recurring issues post Covid vaccines.

Healthcare visit (other): PCP AND MY COWORKER INPUT (Doctors)

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 counselling	✓	·	✓
HCVO	Office visit	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Hypertension	✓	·	✓
SD	Pyrexia	✓	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Bell's palsy	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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