6J8-74013-61880

1 vaccination 9 coded responses 14 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 105 / NY
Registered: 2021-01-28

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

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Heart rate increased, Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I had an adverse reaction starting 7min after vaccination. BPM and pulse rate jumped significantly above my norm for an extended period of time (11 hrs). Was very close to a critical situation. Both are closer to normal now but not fully ok. Also, had headache 4 hrs after injection until next morning but now resolved. · Healthcare visit (other): I am scheduled for an outpatient appointment with a specialist tomorrow. I was out of work the day after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ongoing heart palpitations and higher than normal blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Heart rate irregular, Office visit — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still experiencing problems with pulse, irregular beats and today began feeling some pain on/off behind left breast as well · Healthcare visit (other): Calls with multiple doctors each day since vaccine; visit to cardiologist Friday; am hooked to a cardio halter to monitor my heart rate/rhythm now; have been counseled that I had severe reaction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Electrocardiogram ambulatory, Heart rate increased, Heart rate irregular — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Moderate: Ongoing irregular heartbeats ever since I was vaccinated and experienced the dangerously high pulse (above 150) and rapid and serious increase in blood pressure · Healthcare visit (other): I remain on a holter monitor subsequent to receiving the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cardiac disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: SEVERE - heart still not normal since severe adverse reaction to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing irregular heart beats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Adverse reaction, Asthenia, Fatigue — Feeling: Good

Free text: Note: did not get 2nd dose as results are still pending on my heart after the severe adverse reaction to the first doseNew/worsening - fatigue better than the first day after the initial vaccine but not back to my norm in terms of energy level

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 28, dose 1
MedDRA: Heart rate irregular, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The irregular beats had become less frequent (at least from what I could feel) about 2 weeks after the vaccine. Late yesterday, they have been occurring frequently again. · Healthcare visit (other): Scheduled for dr appt tomorrow to review results of the holter monitor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — day 35, dose 1
MedDRA: Heart rate irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Irregular beats continue. Had to follow up with additional cardiac testing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-05-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-27
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): I had an adverse reaction starting 7min after vaccination. BPM and pulse rate jumped significantly above my norm for an extended period of time (11 hrs). Was very close to a critical situation. Both are closer to normal now but not fully ok. Also, had headache 4 hrs after injection until next morning but now resolved.

Healthcare visit (other): I am scheduled for an outpatient appointment with a specialist tomorrow. I was out of work the day after the vaccine.

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Ongoing heart palpitations and higher than normal blood pressure

2021-01-30

Systemic reaction (other): Still experiencing problems with pulse, irregular beats and today began feeling some pain on/off behind left breast as well

Healthcare visit (other): Calls with multiple doctors each day since vaccine; visit to cardiologist Friday; am hooked to a cardio halter to monitor my heart rate/rhythm now; have been counseled that I had severe reaction

2021-01-31

Systemic reaction (other): Moderate: Ongoing irregular heartbeats ever since I was vaccinated and experienced the dangerously high pulse (above 150) and rapid and serious increase in blood pressure

Healthcare visit (other): I remain on a holter monitor subsequent to receiving the vaccine.

2021-02-01

Systemic reaction (other): SEVERE - heart still not normal since severe adverse reaction to the vaccine

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Ongoing irregular heart beats

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Note: did not get 2nd dose as results are still pending on my heart after the severe adverse reaction to the first doseNew/worsening - fatigue better than the first day after the initial vaccine but not back to my norm in terms of energy level

Release 4 — day 28, dose 1

2021-02-25

Symptoms: The irregular beats had become less frequent (at least from what I could feel) about 2 weeks after the vaccine. Late yesterday, they have been occurring frequently again.

Healthcare visit (other): Scheduled for dr appt tomorrow to review results of the holter monitor.

Release 4 — day 35, dose 1

2021-03-02

Symptoms: Irregular beats continue. Had to follow up with additional cardiac 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	Electrocardiogram ambulatory	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Cardiac disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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