6J5-33367-88518

3 vaccinations 11 coded responses 16 check-ins 11 free-text entries 8 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 117 / NY
Registered: 2021-04-09

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

2021-03-25
Dose 1 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Just had the shot two hours ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Faster heart rate ( I have atrial fib this made it faster)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Related to bursitis of hip not vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Poor · Joint pains · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Left hip left knee left ankle. Agony. · Healthcare visit (other): Visit to orthopedic got lidocaine and prednisone shot into hip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 14, dose 2
MedDRA: Arthralgia, Burning sensation, Chills, Gait inability, Hypoaesthesia, Musculoskeletal disorder, Office visit, Pain in extremity, Pre-existing disease, Telemedicine — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Severe pain left hip down thigh left ankle numbness burning on thigh , chills, same area I had shingles before, cant lift leg cant walk cant do anything · Healthcare visit (other): Office visit to orthopedic, tele health to primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Arthralgia, Bursitis, Diarrhoea, Iliotibial band syndrome, Inflammation, Malaise, Piriformis syndrome — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: TotalInflammation of the left leg plus periformis syndrome hip bursitis and iliotibial band syndrome and terrible pain in joints of hands and knees and pure liquid diarrhea. Feel sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
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)
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Back pain, Chest discomfort, Cough, Gait inability, Physiotherapy, Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Tickle in mid-chest with slight dry cough and pain in back of chest Slowly getting better with my inflammatory lupus response and going to PT so I can walk · Healthcare visit (other): PT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-08-30
Dose 3 — Pfizer-BioNTech
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Atrial fibrillation, Dyspnoea, Office visit, Pericarditis, Pleurisy, Pre-existing disease — 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

Free text: Symptoms: Worsening atrial fibrillation Pleurisy Pericarditis Terrible Joint pain Shortness of breath · Healthcare visit (other): Saw cardiologist in person and several telegraph visits with prinary

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
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 · 1 call case(s)
2021-10-15
Survey response — day 42, dose 3
MedDRA: Arthralgia, Atrial fibrillation, Costochondritis, Pericarditis, Pleurisy — 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

Free text: Pericarditis pleurisy costochondritis worse atrial fibrillation and joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 42, dose 3
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 · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-10-21
Call 1 — Left Voicemail
2021-11-30
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Cellulitis, Localised infection, Office visit, Pleurisy — 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

Free text: Symptoms: Pleurisy Cellulitis Toe infection Shoulder pain Joint pain · Healthcare visit (other): Office visits

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2021-12-01
Call successful
Participant prefers to complete VAERS report online
2022-02-28
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-08-30
Survey response — 12 months, dose 3
MedDRA: Blood pressure abnormal, Dizziness, Heart rate abnormal — 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, Emergency room or emergency department visit, Hospitalization

Free text: Unstable blood pressure and heart rate, dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — 12 months, dose 3
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-08-30	Pfizer-BioNTech	No

Call center

8 call center cases

7 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Just had the shot two hours ago

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Faster heart rate ( I have atrial fib this made it faster)

2021-04-20

Systemic reaction (other): Related to bursitis of hip not vaccine

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Left hip left knee left ankle. Agony.

Healthcare visit (other): Visit to orthopedic got lidocaine and prednisone shot into hip

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Severe pain left hip down thigh left ankle numbness burning on thigh , chills, same area I had shingles before, cant lift leg cant walk cant do anything

Healthcare visit (other): Office visit to orthopedic, tele health to primary

Release 8 — day 28, dose 2

2021-05-15

Symptoms: TotalInflammation of the left leg plus periformis syndrome hip bursitis and iliotibial band syndrome and terrible pain in joints of hands and knees and pure liquid diarrhea. Feel sick.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Tickle in mid-chest with slight dry cough and pain in back of chest Slowly getting better with my inflammatory lupus response and going to PT so I can walk

Healthcare visit (other): PT

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Worsening atrial fibrillation Pleurisy Pericarditis Terrible Joint pain Shortness of breath

Healthcare visit (other): Saw cardiologist in person and several telegraph visits with prinary

Release 10 — day 42, dose 3

2021-10-15

Symptoms: Pericarditis pleurisy costochondritis worse atrial fibrillation and joint pain

Release 10 — 3 months, dose 3

2021-11-30

Symptoms: Pleurisy Cellulitis Toe infection Shoulder pain Joint pain

Healthcare visit (other): Office visits

Release 12 — 12 months, dose 3

2022-08-30

Symptoms: Unstable blood pressure and heart rate, dizziness

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	Physiotherapy	✓	·	✓
HCVO	Telemedicine	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Back pain	✓	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Burning sensation	·	·	✓
SD	Bursitis	✓	✓	✓
SD	Cellulitis	·	·	✓
SD	Chest discomfort	✓	·	✓
SD	Chills	✓	✓	✓
SD	Costochondritis	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Gait inability	✓	·	✓
SD	Heart rate abnormal	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Iliotibial band syndrome	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Localised infection	·	·	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pericarditis	·	·	✓
SD	Physiotherapy	✓	·	✓
SD	Piriformis syndrome	✓	✓	✓
SD	Pleurisy	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Systemic lupus erythematosus	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Bursitis	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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