6BB-27125-76285

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 064 / CT
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to work

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I was unable to enter in the symptoms I had the day I received my shot and I believe it is important to note as I suffer from some rare conditions that warranted me having to get my vaccine done at the ER, how do I report this information.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 7, dose 1
MedDRA: Carcinoid syndrome, Condition aggravated, Flushing, Pre-existing disease — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I have (b)(6) and since the vaccine my symptoms have increased. The day I got my vaccine I flushed all over.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I answered good for the first question as there was no impact from the 2nd vaccine, just normal symptoms of my multiple rare and nonrare diseases. If I were to answer truthfully my overall feeling today is fair to poor, but I do not want to mess up covid data. Had a lot of nasty side effects from the first covid vaccine shot including an increase in symptoms from my rare cancer carcinoid syndrome. Not sure on how to answer questions below as I cannot work to due to my disability, but not due to vaccine. So I am going to say none of the above since the second vaccine shot is not the reason.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Emergency care, Pre-existing disease — Feeling: Good

Free text: As stated prior, I am battling multiple diseases, some rare, I am excluding these from all of my responses in all sections, not just this one and only answering for my reactions to the vaccine. With my first vaccine, I experienced symptoms in two ways, one which were totally vaccine in nature the other were symptoms that triggered my other diseases to flare. With the symptoms of my rare disease(b)(6), my symptoms were extremely worse and thus I reported it that way. I also needed to go to the ER to receive both of my vaccines due to a combination of my (b)(6) and a history of Anaphylaxis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Emergency care, Pre-existing disease — Feeling: Fair · Chills, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: As stated prior, I am battling multiple diseases, some rare, I am excluding these from all of my responses in all sections, not just this one and only answering for my reactions to the vaccine. With my first vaccine, I experienced symptoms in two ways, one which were totally vaccine in nature the other were symptoms that triggered my other diseases to flare. With the symptoms of my rare disease/cancer called Carcinoid Syndrome, my symptoms were extremely worse and thus I reported it that way. I also needed to go to the ER to receive both of my vaccines due to a combination of my Carcinoid Syndrome and a history of Anaphylaxis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Am extremely exhausted more than my normal health conditions have caused.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Balance disorder, Fatigue, Hypoacusis, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme exhaustion to the point where I am only awake for a few hours a days. Loud whistle is ear and off balance · Healthcare visit (other): Dr visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, dose 2
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)
2021-05-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Abnormal dreams, Condition aggravated, Diarrhoea, Fatigue, Headache, Pre-existing disease — Feeling: Fair · Be unable to work, 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: I have worsening carcinoid syndrome symptoms when I receive the vaccine and when I get my palliative treatments, like diarrhea, extreme exhaustion, headaches (not my normal one sore migraines), strange and weird dreams.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
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)
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Lethargy — Feeling: Fair · 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

Free text: Have remained extremely lethargic, and having more breathing difficulties.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-07-23
Call successful
Participant prefers to complete VAERS report online
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Fatigue, Pre-existing disease, SARS-CoV-2 antibody test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Still having extreme fatigue and exhaustion. Symptoms from my rare cancer have worsened. Covid test done due to symptoms after I had been fully vaccinated showed negative, however further testing including antibody testing showed I had Covi in July

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-25
Call 2 — Could Not Reach Participant
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Unevaluable event — Feeling: Fair · Be unable to work or attend school, 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: My breathing has gotten tougher and at my last pulmonary checkup they said my breathing was approximately 71% of prior to COVID/COVID vaccine. · Healthcare visit (other): Had to go in for pulmonary testy in the hospital

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): I was unable to enter in the symptoms I had the day I received my shot and I believe it is important to note as I suffer from some rare conditions that warranted me having to get my vaccine done at the ER, how do I report this information.

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): I have (b)(6) and since the vaccine my symptoms have increased. The day I got my vaccine I flushed all over.

redacted (b)(6)

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): I answered good for the first question as there was no impact from the 2nd vaccine, just normal symptoms of my multiple rare and nonrare diseases. If I were to answer truthfully my overall feeling today is fair to poor, but I do not want to mess up covid data. Had a lot of nasty side effects from the first covid vaccine shot including an increase in symptoms from my rare cancer carcinoid syndrome. Not sure on how to answer questions below as I cannot work to due to my disability, but not due to vaccine. So I am going to say none of the above since the second vaccine shot is not the reason.

2021-04-19

Systemic reaction (other): As stated prior, I am battling multiple diseases, some rare, I am excluding these from all of my responses in all sections, not just this one and only answering for my reactions to the vaccine. With my first vaccine, I experienced symptoms in two ways, one which were totally vaccine in nature the other were symptoms that triggered my other diseases to flare. With the symptoms of my rare disease(b)(6), my symptoms were extremely worse and thus I reported it that way. I also needed to go to the ER to receive both of my vaccines due to a combination of my (b)(6) and a history of Anaphylaxis.

redacted (b)(6)

2021-04-22

Systemic reaction (other): As stated prior, I am battling multiple diseases, some rare, I am excluding these from all of my responses in all sections, not just this one and only answering for my reactions to the vaccine. With my first vaccine, I experienced symptoms in two ways, one which were totally vaccine in nature the other were symptoms that triggered my other diseases to flare. With the symptoms of my rare disease/cancer called Carcinoid Syndrome, my symptoms were extremely worse and thus I reported it that way. I also needed to go to the ER to receive both of my vaccines due to a combination of my Carcinoid Syndrome and a history of Anaphylaxis.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Am extremely exhausted more than my normal health conditions have caused.

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Extreme exhaustion to the point where I am only awake for a few hours a days. Loud whistle is ear and off balance

Healthcare visit (other): Dr visit.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: I have worsening carcinoid syndrome symptoms when I receive the vaccine and when I get my palliative treatments, like diarrhea, extreme exhaustion, headaches (not my normal one sore migraines), strange and weird dreams.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Have remained extremely lethargic, and having more breathing difficulties.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Still having extreme fatigue and exhaustion. Symptoms from my rare cancer have worsened. Covid test done due to symptoms after I had been fully vaccinated showed negative, however further testing including antibody testing showed I had Covi in July cut off by CDC

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: My breathing has gotten tougher and at my last pulmonary checkup they said my breathing was approximately 71% of prior to COVID/COVID vaccine.

Healthcare visit (other): Had to go in for pulmonary testy in the hospital

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abnormal dreams	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Lethargy	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 antibody test positive	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Carcinoid syndrome	○	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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