67J-31328-88444

4 vaccinations 17 coded responses 47 check-ins 17 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 141 / NY
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Headache

Free text: Sinuses seem worse pressure today. Normal shortness of breath was more frequent and occured during night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort, Paranasal sinus hypersecretion — Feeling: Good

Free text: Heavy facial sinus pressure and dripping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Self-medication, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Serious sinus issues. New DENTAL ISSUE on antibiotics for bad tooth onset yesterday eve · Healthcare visit (other): Emergency dental call.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 7, dose 1
MedDRA: Tooth disorder — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dental issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Good · Nausea

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: A few random Bumps on my skin randomly mostly face and neck. Just wondering if could be vaccine related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Constant pressured cough. Frequent running nose. Frequent sore throats with a Negative covid test resulting from worry.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-28
Call successful
Participant prefers to complete VAERS report online
2021-12-02
Dose 3 — Pfizer-BioNTech
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Paranasal sinus discomfort, Pre-existing disease — Feeling: Good

Free text: Nasal pressure. Have allergies though.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 21, dose 3
MedDRA: Hypoaesthesia oral, Nasal congestion, Paraesthesia oral — Feeling: Good

Free text: Nose passage feels narrower. Tingly numb back of tounge intermittent

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 35, dose 3
MedDRA: Blood pressure decreased, Cardiovascular disorder, Condition aggravated, Office visit, Oral herpes, Pre-existing disease, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cold sores that seem to reoocur. Dripping nose. Circulation issues and BP drops more often than before. · Healthcare visit (other): Cardiology primary care visits and blood work

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-07
Call 1 — Left Voicemail
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — 3 months, dose 3
MedDRA: Nasal discomfort, Stomatitis, Throat irritation — Feeling: Good

Free text: Constant irritation nose and throat. Mouth spres frequently.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Dose 4 — Pfizer-BioNTech
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Cardiac disorder, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Recent heart issues worsened possibly. Further testing being ordered. · Healthcare visit (other): Doctor visit and testing

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate irregular — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Worsened irregularity of heart

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Blood pressure increased, Chest discomfort, Cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest pressure. Some cough. Higher than normal bp

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-05-09
Survey response — day 7, dose 4
MedDRA: Arrhythmia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having strong heart irregularities.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-03
Survey response — 3 months, dose 4
MedDRA: Blood pressure decreased, Fatigue, Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle aches and pains throughout body. Really low BPs. Extreme fatigue. · Healthcare visit (other): Seen physicians in person.

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-04
Call 1 — Could Not Reach Participant
2022-08-04
Call 1 — Could Not Reach Participant
2022-08-04
Call 2 — Could Not Reach Participant
2022-08-04
Call 1 — Could Not Reach Participant
2022-08-04
Call 1 — Could Not Reach Participant
2022-08-09
Call 2 — Left Voicemail
2022-08-09
Call 2 — Left Voicemail
2022-08-09
Call 3 — Left Voicemail
2022-08-09
Call 2 — Left Voicemail
2022-08-09
Call 2 — Left Voicemail
2022-11-03
Survey response — 6 months, dose 4
MedDRA: Cardiac stress test abnormal, Electrocardiogram abnormal, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Worse ekg...failed stress test · Healthcare visit (other): Cardiology visit and testing

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-04
Call 3 — Left Voicemail
2022-11-04
Call 1 — Left Voicemail
2023-05-04
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No
4	2022-05-02	Pfizer-BioNTech	No

Call center

6 call center cases

4 successful · 2 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Sinuses seem worse pressure today. Normal shortness of breath was more frequent and occured during night

2021-03-12

Systemic reaction (other): Heavy facial sinus pressure and dripping

2021-03-13

Systemic reaction (other): Serious sinus issues. New DENTAL ISSUE on antibiotics for bad tooth onset yesterday eve

Healthcare visit (other): Emergency dental call.

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Dental issues

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Sinus pressure

Release 8 — day 42, dose 2

2021-05-09

Symptoms: A few random Bumps on my skin randomly mostly face and neck. Just wondering if could be vaccine related?

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Constant pressured cough. Frequent running nose. Frequent sore throats with a Negative covid test resulting from worry.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Nasal pressure. Have allergies though.

Release 10 — day 21, dose 3

2021-12-25

Symptoms: Nose passage feels narrower. Tingly numb back of tounge intermittent

Release 10 — day 35, dose 3

2022-01-06

Symptoms: Cold sores that seem to reoocur. Dripping nose. Circulation issues and BP drops more often than before.

Healthcare visit (other): Cardiology primary care visits and blood work

Release 11 — 3 months, dose 3

2022-03-03

Symptoms: Constant irritation nose and throat. Mouth spres frequently.

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): Recent heart issues worsened possibly. Further testing being ordered.

Healthcare visit (other): Doctor visit and testing

2022-05-06

Systemic reaction (other): Worsened irregularity of heart

2022-05-07

Systemic reaction (other): Chest pressure. Some cough. Higher than normal bp

Release 11 — day 7, dose 4

2022-05-09

Systemic reaction (other): Still having strong heart irregularities.

Release 12 — 3 months, dose 4

2022-08-03

Symptoms: Muscle aches and pains throughout body. Really low BPs. Extreme fatigue.

Healthcare visit (other): Seen physicians in person.

Release 12 — 6 months, dose 4

2022-11-03

Symptoms: Worse ekg...failed stress test

Healthcare visit (other): Cardiology visit and testing

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	Blood pressure decreased	·	·	✓
SD	Cardiac stress test abnormal	·	·	✓
SD	Cardiovascular disorder	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia oral	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasal discomfort	·	·	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia oral	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Stomatitis	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Arrhythmia	·	·	✓
SRO	Blood pressure increased	·	·	✓
SRO	Cardiac disorder	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate irregular	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Tooth disorder	✓	✓	✓

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